If you’re struggling with severe GERD or a hiatal hernia that isn’t improving with medications or lifestyle changes, a surgical procedure called Nissen fundoplication could be an effective solution. It works by strengthening the lower esophageal sphincter to prevent acid reflux. This guide explains how the procedure is done, its benefits, possible risks, recovery tips, and important things to consider before making a decision.
What is Nissen Fundoplication?
Nissen fundoplication is a surgical procedure used to treat gastroesophageal reflux disease (GERD) and hiatal hernias. It involves wrapping the upper portion of the stomach (fundus) around the lower end of the esophagus to reinforce the lower esophageal sphincter (LES), preventing acid reflux. This procedure is typically recommended for patients who do not respond well to medications or lifestyle modifications and suffer from severe GERD symptoms.
Understanding GERD and Its Impact
Gastroesophageal reflux disease (GERD) is a chronic condition where stomach acid frequently flows back into the esophagus, causing irritation and damage to the esophageal lining. Common symptoms of GERD include:
- Heartburn
- Regurgitation
- Difficulty swallowing (dysphagia)
- Chest pain
- Chronic cough
- Hoarseness or sore throat
If left untreated, GERD can lead to complications such as Barrett’s esophagus, esophageal ulcers, and an increased risk of esophageal cancer.
How Nissen Fundoplication Works
During a Nissen fundoplication, the surgeon wraps the fundus of the stomach around the esophagus and secures it with sutures. This enhances the function of the lower esophageal sphincter, making it more difficult for stomach acid to reflux into the esophagus. The procedure can be performed using two main techniques:
- Open Surgery: Involves making a large incision in the abdomen to access the stomach and esophagus.
- Laparoscopic Surgery: A minimally invasive approach that uses small incisions and a camera-guided instrument to perform the procedure.
Laparoscopic Nissen fundoplication surgery is the preferred method due to its shorter recovery time, reduced postoperative pain, and lower risk of complications.
Who is a Candidate for Nissen Fundoplication?
Nissen fundoplication surgery is recommended for individuals who experience persistent GERD symptoms that severely affect their daily life and require medical intervention. Additionally, it is suitable for those who:
- Experience severe GERD symptoms despite taking medications
- Have complications such as esophagitis or Barrett’s esophagus
- Suffer from a hiatal hernia causing acid reflux
- Do not want long-term dependence on acid-reducing drugs
- Experience frequent regurgitation or aspiration leading to respiratory issues
Nissen Fundoplication Surgery Procedure
- Pre-Surgery Preparations: Patients may undergo diagnostic tests such as endoscopy, pH monitoring, and esophageal motility studies to evaluate their condition.
- Anesthesia: The Nissen fundoplication surgery is performed under general anesthesia.
- Procedure Execution: The surgeon wraps the stomach around the lower esophagus and secures it.
- Closure: The incisions are closed with sutures or surgical glue.
- Recovery: Patients typically stay in the hospital for 1-3 days after surgery and may take several weeks to resume normal activities.
Nissen Fundoplication Recovery and Post-Surgical Care
After the Nissen Fundoplication Surgery, patients should follow the recovery guidelines mentioned below to ensure proper healing and minimize complications.
- Follow a liquid or soft food diet for a few weeks.
- Avoid heavy lifting or strenuous activities during recovery.
- Gradually reintroduce solid foods as per the doctor’s advice.
- Take prescribed medications to manage pain and prevent nausea.
Potential Risks and Complications after Nissen fundoplication
While Nissen fundoplication surgery is generally safe,patients should be aware of the potential risks mentioned below to ensure timely identification and proper management.
- Difficulty swallowing due to excessive tightening of the LES
- Gas-bloat syndrome (inability to burp, leading to bloating)
- Recurrence of reflux symptoms
- Damage to surrounding organs
Long-Term Outcomes and Benefits of Nissen fundoplication
Most patients experience significant relief from GERD symptoms after surgery. The benefits of Nissen fundoplication include following:
- Reduced acid reflux and heartburn
- Decreased dependence on medications
- Improved quality of life
However, some individuals may require additional treatment if symptoms persist or recur.
Dr. Shrikant Kurhade’s Expertise in Nissen Fundoplication Treatment
Dr. Shrikant Kurhade is a highly skilled surgeon specializing in Nissen fundoplication, a surgical procedure used to treat chronic acid reflux (GERD) and hiatal hernias. With years of experience in advanced laparoscopic techniques, he ensures that patients receive minimally invasive, effective, and long-lasting relief from reflux-related symptoms. His approach focuses on strengthening the lower esophageal sphincter to prevent acid reflux, thereby improving the patient’s quality of life. Dr. Kurhade is Acidity Specialist in Pune, tailors each treatment plan based on the patient’s condition, ensuring optimal surgical outcomes and a smooth recovery process.
At his state-of-the-art clinic, Dr. Shrikant Kurhade provides comprehensive gastrointestinal care, combining advanced medical technology with a patient-centric approach. The clinic is well-equipped with modern facilities to perform laparoscopic Nissen fundoplication with precision and safety.
Conclusion
Nissen fundoplication surgery is an effective surgical solution for individuals with severe GERD or hiatal hernias. By strengthening the lower esophageal sphincter, the procedure prevents acid reflux and improves the patient’s quality of life. While it carries some risks, the benefits of long-term symptom relief make it a valuable option for those who struggle with chronic GERD symptoms. Consulting with a healthcare professional is essential to determine if Nissen fundoplication is the right treatment choice. For advanced surgical options, consult Dr. Shrikant Kurahde, a leading Robotic Surgeon in Pune.