Type of Surgery

Information

Doctor Certified

Last updated: 02/17/2009

Risks

Risks or complications that have been associated with fundoplication include:

  • heartburn recurrence
  • swallowing difficulties caused by an overly tight wrap of the stomach on the esophagus
  • failure of the wrap to stay in place...

    so that the LES is no longer supported
  • normal risks associated with major surgical procedures and the use of general anesthesia
  • increased bloating and discomfort due to a decreased ability to expel excess gas

Complications, though rare, can occur during fundoplication. These complications can include injury to such surrounding tissues and organs, as the liver, esophagus, spleen, and stomach. One of the major drawbacks to fundoplication surgery, whether it is open or laparoscopic, is that the procedure is not reversible. In addition, some of the symptoms associated with complications are not always treatable. One study showed that about 10% to 20% of patients who receive fundoplication have a recurrence of gastroesophageal reflux disease symptoms or develop such other problems, as bloating, intestinal gas, vomiting, or swallowing problems following the surgery. In addition, some patients may develop altered bowel habits following the surgery.



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Other Information

Gastroesophageal reflux surgery is typically performed in patients with serious gastroesophageal reflux disease that does not respond to drug therapy. Gastroesophageal reflux is classified as the symptoms produced by the inappropriate movement of stomach contents back up into the esophagus. Nissen fundoplication is the most common surgical approach in the correction of gastroesophageal reflux. The laparoscopic method of Nissen fundoplication is becoming the standard form of surgical correction.


From http://www.answers.com/topic/gastroesophageal-reflux-surgery

Other Information

Biliary colic is the presenting symptom in 80% of patients with gallstone disease who seek medical care; however, only 10-20% of all individuals with gallstones experience severe gallstone pain.


From: eMedicine

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