What is Laparoscopic Nissen Fundoplication ? GERD, Full Body Checkup

November 23, 2023 Full Body Check-up 215 Views

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What is Laparoscopic Nissen Fundoplication ?

Laparoscopic Nissen Fundoplication is a surgical procedure used to treat gastroesophageal reflux disease (GERD) or severe heartburn. It involves wrapping the top of the stomach around the lower oesophagus to strengthen the lower esophageal sphincter, preventing stomach acid from flowing back into the oesophagus. The “laparoscopic” part refers to the minimally invasive technique using small incisions and a camera for visualisation during the surgery.

When is this procedure done?

Laparoscopic Nissen Fundoplication is typically considered when other treatments for gastroesophageal reflux disease (GERD) or severe heartburn, such as medications and lifestyle changes, have not provided sufficient relief. It may be recommended when GERD causes complications like esophagitis, Barrett’s oesophagus, or respiratory issues. Your doctor will assess your specific situation to determine if this surgical procedure is appropriate for you.

What is GERD ?

GERD stands for Gastroesophageal Reflux Disease. It’s a chronic condition where stomach acid consistently flows back into the esophagus, causing irritation and inflammation. Common symptoms include heartburn, regurgitation, chest pain, and difficulty swallowing. GERD can lead to complications such as esophagitis, Barrett’s esophagus, and respiratory problems. Lifestyle changes, medications, and in some cases, surgical procedures like Laparoscopic Nissen Fundoplication, may be recommended for managing GERD.

What are symptoms of GERD?

Common symptoms of Gastroesophageal Reflux Disease (GERD) include:

  • Heartburn: A burning sensation or discomfort in the chest, often after eating.
  • Regurgitation: Backflow of stomach contents into the throat or mouth.
  • Difficulty Swallowing: Sensation of a lump in the throat or difficulty swallowing.
  • Chest Pain: May be confused with heart-related pain, but it’s often a burning discomfort.
  • Belching: Frequent belching may be a symptom.
  • Nausea: Some individuals may experience nausea or a sour taste in the mouth.
  • Chronic Cough: GERD can trigger a persistent cough or worsening of asthma symptoms.

Consult with a gastroenterologist for an accurate diagnosis and appropriate treatment with Laparoscopic Nissen Fundoplication if you suspect you have GERD. ( Know more about- Ayurvedic Treatments for Stomach Gas )

How is GERD diagnosed?

GERD is typically diagnosed through a combination of medical history, symptoms, and diagnostic tests. Common methods include:

  • Symptom Assessment: A detailed discussion with your doctor about your symptoms, their frequency, and severity.
  • Upper Endoscopy: A procedure using a thin, flexible tube with a camera (endoscope) to examine the esophagus, stomach, and upper part of the small intestine. ( Know more about- What is Endoscopy ? )
  • Esophageal pH Monitoring: Measures the amount of acid in the esophagus over a 24-hour period, providing information about reflux episodes.
  • Esophageal Manometry: Measures the muscle contractions of the esophagus to evaluate its function and the strength of the lower esophageal sphincter.
  • Barium Swallow X-ray: Involves swallowing a contrast material (barium) to make the upper gastrointestinal tract visible on X-rays.

Seek professional medical advice for an accurate diagnosis and appropriate treatment of GERD with Laparoscopic Nissen Fundoplication.

Can Laparoscopic Nissen Fundoplication successfully treat GERD?

Laparoscopic Nissen Fundoplication is a surgical procedure that can be effective in treating Gastroesophageal Reflux Disease (GERD). By wrapping the top of the stomach around the lower esophagus, this surgery aims to reinforce the lower esophageal sphincter and prevent the backflow of stomach acid into the esophagus.

While many individuals experience relief from GERD symptoms after undergoing Laparoscopic Nissen Fundoplication, the decision to proceed with surgery should be carefully considered in consultation with a healthcare professional. 

Factors such as the severity of symptoms, response to other treatments, and potential risks and benefits of surgery will be taken into account when determining the most suitable course of action for each individual.

Can GERD be diagnosed early with full body checkups?

While routine full body checkups may include some general health assessments, diagnosing Gastroesophageal Reflux Disease (GERD) often involves specific evaluations focused on the digestive system. 

Symptoms and risk factors related to GERD may prompt further investigation. Diagnostic methods for GERD include upper endoscopy, esophageal pH monitoring, and other tests that specifically target the gastrointestinal tract.

Early diagnosis and management of GERD are crucial for preventing complications and improving quality of life. Get full body checkups at Manipal Hospital Old Airport Road Bangalore done, for better treatment of various gastrointestinal diseases and more knowledge on Laparoscopic Nissen Fundoplication. 


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