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Nissen fundoplication, or Lap Nissen, is a procedure to prevent acid reflux and heartburn.
A Nissen fundoplication is an operation to prevent acid reflux, where acid from your stomach travels up into your oesophagus (gullet). It involves wrapping the top part of your stomach around your oesophagus.
It is normal for a small amount of acid to travel into your oesophagus. If this happens too often it can cause symptoms of a burning sensation in your chest (‘heartburn’) or acid in the back of your mouth. The acid can cause the lining of your oesophagus to become inflamed (oesophagitis) or scarred.
You should get relief from symptoms of acid reflux without needing to take medication.
Medication that lowers the acid content in your stomach is effective at controlling symptoms and healing the inflammation in your oesophagus.
Surgery is recommended only if the symptoms continue while you are taking the medication, or if you feel that you would prefer to have an operation than take medication for the rest of your life. There are surgical alternatives to a Nissen fundoplication such as a partial wrap and placing magnetic beads around your oesophagus (linx procedure).
The operation is performed under a general anaesthetic and usually takes 1 to 2 hours. Your surgeon will use laparoscopic (keyhole) surgery as this is associated with less pain, less scarring and a faster return to normal activities.
They will make several small cuts on your abdomen so they can insert tubes (ports) into your abdomen. Your surgeon will insert surgical instruments through the ports along with a telescope so they can see inside your abdomen and perform the operation. They will stitch your diaphragm to reduce the size of the hole your oesophagus passes through. Your surgeon will wrap and stitch the top part of your stomach around your lower oesophagus, to produce a valve effect.
Like all surgical procedures, there are some complications that can be serious and can even cause death. Please bear in mind the general and specific complications regarding this type of operation.
You should be able to go home the next day. You should be able to return to work after 3 to 4 weeks, depending on how much surgery you need and your type of work. Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice. You should make a full recovery, with the symptoms of acid reflux gone or much improved.
Acid reflux can cause heartburn or acid in your mouth. The acid can cause the lining of your oesophagus to become inflamed or scarred. Surgery may be recommended if your symptoms continue while you are taking medication. To find out more, call us on 0808 101 0337 or make an online enquiry.
Author: Mr Simon Parsons DM FRCS (Gen. Surg.)
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