Fundoplication?

Question

I had a fundoplication about 9 years ago because I didn't have a valve and had severe reflux. Do I need to get it re-done?

Answer 1

Surgery often does not completely eliminate the need to take medications to control remaining GERD symptoms. One study showed that 62% of people who had surgery were still taking medications to control GERD symptoms. However, they were less likely to need to take medications regularly; and, when they did not take medications, their remaining symptoms were likely to be less severe.

While some studies indicate that laparoscopic fundoplication improves GERD symptoms in 76% to 98% of people who have the surgery, no studies have proven that laparoscopic fundoplication surgery is effective in maintaining healing of the esophagus over the long term.

About 10% to 20% of the people who have surgery to relieve GERD symptoms continue to have symptoms or develop new problems (such as difficulty swallowing, intestinal gas, or bloating) after the surgery. These continuing or new symptoms may or may not respond to treatment with medications. Also, one study showed that 16% of the people needed second operations within 10 to 12 years to deal with complications caused by the first surgery.

talk to your medical doctor about this. I recommend you purchase papaya tablets at any health food store and eat them before and after every meal. This will help.

Answer 2

for the period of the fundoplication technique, the area of the tummy it is closest to the get admission to of the esophagus (the fundus of the tummy) is amassed, wrapped, and sutured (sewn) around the decrease end of the esophagus and the decrease esophageal sphincter. (the accumulating and suturing of one tissue to a various is termed plication.) This technique will improve the tension on the decrease end of the esophagus and thereby reduces acid reflux affliction. additionally, for the duration of fundoplication, different surgical steps are likely to be taken that still could cut back acid reflux affliction. case in point, if the affected person has a hiatal hernia (which takes place in 80% of sufferers with GERD), the hernial sac could be pulled down from the chest and sutured so as that it remains in the tummy. additionally, the hollow interior the diaphragm wherein the esophagus passes from the chest into the tummy additionally could be tightened. Fundoplication could be carried out employing a huge incision (laparotomy interior the tummy or thoracotomy interior the chest) or a laparoscope, which demands merely quite a few small punctures interior the tummy. the benefit of the laparoscopic technique is a faster restoration and much less placed up-operative soreness. SHE'S superb. ASK YOUR surgeon FOR achievable issues placed up OPERATIVE.