Is hiatal hernia repair the same as fundoplication?
Hiatal hernia surgery corrects the hernia by pulling the stomach back into the abdomen and making the opening in the diaphragm smaller, while the fundoplication tightens the lower esophageal sphincter.
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%).
When can I eat normally after fundoplication?
After your first 2 weeks, you can advance to a soft diet. In general this diet is Level 1 plus “anything you can squish through your fingers” but you can also start trying slippery noodles, white fish, minced chicken and soft, cooked vegetables that are chewed well. Take it slowly. Eat small bites, chew well!
Can a fundoplication be performed on a distal esophagus?
The fundoplication cannot be performed unless the distal 4 cm of esophagus is present in the abdomen. For this reason, proper hiatal hernia repair i.e. distal esophageal mobilization, must be achieved to be able to perform a durable and reliable Nissen fundoplication.
Can a hiatal hernia be repaired without fundoplication?
For this reason, proper hiatal hernia repair i.e. distal esophageal mobilization, must be achieved to be able to perform a durable and reliable Nissen fundoplication. A poorly performed hiatal hernia invariably results in slipped Nissen fundoplication. The mechanism of action of Nissen fundoplication is multifactorial and is not well understood.
Can a hiatal hernia cause slipped Nissen fundoplication?
A poorly performed hiatal hernia invariably results in slipped Nissen fundoplication. The mechanism of action of Nissen fundoplication is multifactorial and is not well understood. Nissen fundoplication does not mechanically reinforce the lower esophageal sphincter like LINX device.
Can a floppy fundoplication prevent post-operative dysphagia?
Indeed, we currently perform a floppy and short fundoplication to prevent post-operative dysphagia. Even in the setting of severe esophageal dysmotility, a floppy and short fundoplication is associated with very low dysphagia rate. At Houston Heartburn and Reflux Center, our post-fundoplication dysphagia rate is zero.
Can a paraesophageal hernia be repaired by laparoscopic fundoplication?
Gastroesophageal reflux disease is extremely common in North America. The majority of these patients will have a simple type I hiatus hernia. The approach to this repair is usually by laparoscopic Nissen fundoplication. Much less frequently patients will present with a giant paraesophageal hernia (GPEH) (Figure 1).
The fundoplication cannot be performed unless the distal 4 cm of esophagus is present in the abdomen. For this reason, proper hiatal hernia repair i.e. distal esophageal mobilization, must be achieved to be able to perform a durable and reliable Nissen fundoplication.
Can you have fundoplication if you have hiatal hernia?
Fundoplication is a last-resort surgery for GERD or a hiatal hernia, which happens when your stomach pushes up through your diaphragm. Your doctor may not recommend this surgery if you haven’t already tried other treatments, home remedies, or lifestyle changes to control your GERD symptoms, such as:
What kind of surgery is needed for lower esophageal sphincter?
Laparoscopic Antireflux Surgery. Gastroesophageal reflux disease (GERD) is a digestive disorder that affects the lower esophageal sphincter (the muscular ring connecting the esophagus with the stomach). Laparoscopic antireflux surgery (also called Nissen fundoplication) is used in the treatment of GERD when medicines are not successful.