Nissen gastric fundoplication used in the treatment of gastroesophageal reflux disease induces a small but significant weight loss.
How much weight should I lose with the Nissen fundoplication?
He showed persistent weight loss of around 9 pounds at one year after Nissen procedure in a group of patients with an average starting BMI of 27.6. One would expect more weight loss with a higher starting BMI, however, Nissen fundoplication is not a bariatric procedure.
Is your stomach smaller after Nissen fundoplication?
The cramping and bloating usually go away in 2 to 3 months, but you may continue to pass more gas for a long time. Because the surgery makes your stomach a little smaller, you may get full more quickly when you eat. In 2 to 3 months, the stomach adjusts. You will be able to eat your usual amounts of food.
What are the side effects of fundoplication?
Mechanical side effects of total fundoplication may lead to a functional obstruction in the gastroesophageal junction and to an inability to vent air from the stomach[12]. As a result, we observed common postoperative side effects including inability to belch, abdominal bloating, and increased flatulence.
Can you eat normally after fundoplication?
As the swelling settles, the oesophagus will become more supple and you will gradually be able to manage a normal diet. Eat and drink slowly – avoid gulping. Eat small frequent meals. Avoid fizzy drinks, chewing gum or drinking straws to reduce bloating/gas.
Does hiatal hernia surgery help lose weight?
The weight loss itself may ease symptoms from a hiatal hernia or reduce the size of the bulge to the point where surgery is no longer necessary. If symptoms return, hernia repair may still be performed after some weight is lost following weight reduction surgery, or even along with a weight loss surgery.
Is it normal to lose weight after hiatal hernia surgery?
On average a year after the LNF procedure people lost 8.9 lbs. People who weighed more before the procedure tended to lose more than those who didn’t. So, while it is possible to lose weight after the LNF procedure, one shouldn’t expect “massive” amounts based on the surgery alone.
How many years does Nissen fundoplication last?
Although widely quoted, the study of DeMeester et al,3 which demonstrated a positive outcome for 91% of patients undergoing open Nissen fundoplication, extrapolated a 10-year outcome through an actuarial analysis with a series that reported an average follow-up of 45 months.
Why can’t I eat chocolate after Nissen fundoplication?
Eat desserts and sweets at the end of your meal to avoid “dumping syndrome.” This describes the rapid emptying of foods from the stomach to the small intestine. Sweets move more rapidly and dump quickly into the intestines. This can cause symptoms of nausea, weakness, cold sweats, cramps, diarrhea, and dizzy spells.
Is fundoplication a major surgery?
What are the complications of Nissen’s fundoplication surgery? The surgery is relatively safe with morbidity of less than 1%. Like any major surgery, fundoplication also has a risk for complications that are usually treatable or transient.
Is fundoplication surgery painful?
A person having a fundoplication will be asleep under general anesthetics and will not feel any pain. During the surgery, the surgeon will make a few incisions in the abdomen and move the laparoscope and tools into place.
How successful is fundoplication?
Laparoscopic fundoplication has a symptomatic success of 63% for regurgitation and heartburn at 20-year follow up. There is a relatively high rate of dysphagia (26%) at long-term follow up, but need for reparative surgery is relatively low (16%).
What are the long term side effects of Nissen fundoplication?
Some patients may revert to the use of long-term PPI therapy, or need revision surgery to improve symptom control following recurrent symptoms. Side effects of Nissen fundoplication such as dysphagia, increased bloating and flatulence, and inability to belch or vomit may also limit the success of antireflux surgery.
Can you drink coffee after fundoplication?
Take small bites, chew your food well, and avoid gulping. This helps prevent gas build-up and aids in swallowing. To prevent swallowing air, which produces excess gas, avoid drinking through a straw and don’t chew gum or tobacco. Also avoid caffeine, carbonated drinks, alcohol, citrus, and tomato products.
Can you eat bread after fundoplication?
Level 4: Regular Foods
Foods in this group are soft, moist, regularly textured foods. This level includes red meat and breads, which tend to be the hardest things to swallow. Eat very slowly, chew well, and continue to avoid carbonated drinks.
Can you eat pizza after Nissen fundoplication?
The foods to avoid are breakfast cereals with hard dry pieces of fruit or nuts e.g. muesli, bread, muffins, crumpets, bagels, pizza, potato chips, corn chips, raw vegetables, large fruit pips (kiwifruit pips okay) fruit skins, nuts, seeds, popcorn, cooked fibrous vegetables e.g. cabbage, celery, sweetcorn, beans, tough …