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Fundoplication surgery
Discussion in 'All Categories' started by Sangeeta - Jun 2nd, 2023 10:18 am.
Please tell me what is fundoplication surgery? What are the potential risks and complications associated with the procedure?
re: Fundoplication surgery by Dr. B. S. Bhalla - Jun 2nd, 2023 10:20 am
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Fundoplication surgery is a surgical procedure performed to treat gastroesophageal reflux disease (GERD), a condition in which stomach acid flows backward into the esophagus, causing symptoms like heartburn, regurgitation, and difficulty swallowing. The primary goal of fundoplication is to strengthen the lower esophageal sphincter (LES), the muscle that acts as a barrier between the stomach and the esophagus, to prevent acid reflux.

During the surgery, the upper part of the stomach, called the fundus, is wrapped around the lower part of the esophagus, creating a tighter valve mechanism. This wrapping can be done either partially (partial fundoplication) or completely (complete fundoplication). The most common types of fundoplication are Nissen fundoplication, Toupet fundoplication, and Dor fundoplication, each with slight variations in the technique and degree of wrapping.

As with any surgical procedure, there are potential risks and complications associated with fundoplication surgery. These can include:

Infection: There is a risk of infection at the surgical site or in the surrounding areas. Antibiotics are typically administered before and after the surgery to reduce this risk.

Bleeding: Although rare, there is a small risk of bleeding during or after the procedure. The surgical team takes measures to minimize this risk and control bleeding if it occurs.

Difficulty swallowing: Some patients may experience difficulty swallowing after the surgery, which is usually temporary. This can be due to swelling or tightness caused by the procedure.

Gas and bloating: The alteration of the normal anatomy can lead to increased gas and bloating in some patients. This usually improves over time as the body adjusts to the changes.

Recurrence of reflux symptoms: While fundoplication surgery is generally effective in reducing reflux symptoms, there is a possibility of symptoms recurring in some cases. This can happen if the wrap loosens or if the LES function is not adequately improved.

Dysphagia: Dysphagia, or difficulty swallowing, can occur as a complication of fundoplication surgery. This can be due to excessive tightness or narrowing of the esophagus caused by the wrap. In most cases, it resolves over time as the swelling subsides.

Gas bloat syndrome: In a small number of cases, patients may experience excessive bloating and discomfort caused by an inability to belch or vomit effectively. This is known as gas bloat syndrome and may require further medical management.

Injury to surrounding structures: During the surgery, there is a slight risk of injury to nearby organs or structures such as the stomach, esophagus, blood vessels, or nerves. Surgeons take precautions to minimize this risk.
re: Fundoplication surgery by - Jun 24th, 2023 10:16 am
I am going for Fundoplication surgery. Will I need to stay overnight in the hospital after the surgery?

Reply:- Fundoplication is a surgical procedure used to treat gastroesophageal reflux disease (GERD) or other conditions where the lower esophageal sphincter (LES) is weak or dysfunctional. During the procedure, the surgeon wraps the upper part of the stomach (fundus) around the lower part of the esophagus, reinforcing the LES and preventing stomach acid from flowing back into the esophagus.

The length of hospital stay after fundoplication surgery can vary depending on several factors, including the specific surgical technique used, the individual patient's condition, and the surgeon's preferences. In some cases, patients may be able to go home on the same day as the surgery, while in other cases, an overnight stay or a few days in the hospital may be required for monitoring and recovery.
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