Is Nissen a fundoplication?
Is Nissen a fundoplication?
A Nissen fundoplication is a surgery to correct gastroesophageal reflux disease (GERD). The surgery tightens the junction between the esophagus and the stomach to prevent acid reflux. The esophagus is the tube between your mouth and stomach. It is part of your gastrointestinal (GI) system.
Why is it called Nissen fundoplication?
The 360-degree fundoplication or Nissen fundoplication, the most reliable treatment for GERD, is named after Dr. Rudolf Nissen. A German surgeon with great power of observation and astute judgment.
Can you live a normal life after Nissen fundoplication?
We demonstrated a great response rate of 77.1%, with a mean follow-up of 3.7 years. In this study, we found excellent quality of life after Nissen fundoplication. Nissen fundoplication has been proven effective in reducing GERD and preventing recurrence, even at the long-term follow-up.
How long does a 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.
What is the difference between Nissen and Toupet fundoplication?
Both Nissen and Toupet fundoplication significantly increased the postoperative LES intra-abdominal length but a significantly increased LES pressure was only seen after Nissen fundoplication, and not Toupet, after two years. This is contradictory to a slightly higher reflux recurrence in the Nissen group.
Is Nissen or Toupet better for esophageal motility?
Nissen vs Toupet laparoscopic fundoplication Tailoring antireflux surgery to esophageal motility is not indicated, since motility disorders are not correlated with postoperative dysphagia. The Toupet procedure is the better operation because it has a lower rate of dysphagia and is as effective as the Nissen fundoplication in controlling reflux …
Which is better for acid reflux 270 degree wrap or Toupet?
Both 270 and 360 degree wraps or Toupet and Nissen fundoplication procedures are equally effective in treating acid reflux and eliminating GERD related symptoms. The key to Toupet or Nissen fundoplication reliability and effectiveness is good surgical technique.
Is there overcorrection of LES pressure after Nissen fundoplication?
In an animal model, overcorrection of the LES pressure was found after the Nissen fundoplication. This correlates with our clinical findings [40]. Patients with preoperative motility disorders had greater prevalence and severity of respiratory symptoms and heartburn and were more often refractory to medical treatment.
