The Nissen Procedure in Houston

Houston Acid Reflux and GERD Treatment

The Nissen Fundoplication is the most commonly used procedure to treat reflux and results in excellent resolution of GERD symptoms. The procedure has been used since 1951 and has been very successful.

During the procedure the upper part of the stomach (fundus) is wrapped around the base of the esophagus. This reinforces the lower esophageal sphincter and helps it to function normally. The procedure is minimally invasive meaning tiny incisions are made for a more rapid recovery. This surgery is performed as an outpatient procedure and full activity is possible in one week or less.

Studies have shown that up to 95% of patients treated with the Laparoscopic Nissen Fundoplication experience a resolution in their GERD related symptoms. Several randomized controlled trials with up to 10 year follow-up have compared surgical therapy with medical therapy for the treatment of GERD. These studies strongly support surgery as an effective alternative to medical therapy.

Fundoplication has also been demonstrated to lead to improved or at least comparable quality of life to that of medically treated patients and is associated with high patient satisfaction rates.

The latest guidelines from the American College of Gastroenterology indicate, "surgical therapy is as effective as medical therapy for carefully selected patients with chronic GERD when performed by an experienced surgeon. In appropriately selected patients, laparoscopic reflux surgery may be more cost effective than lifelong medical treatment.

Advantages of the Nissen procedure:

  • Short hospital stay
  • Faster return to normal activities
  • Less internal scarring
  • Reduced blood loss and less risk of infection
  • Less discomfort at incision site
  • Long-term relief from heartburn

Disadvantages:

  • Gradual diet progression immediately following surgery
  • Abdominal fullness due to sensation of intestinal gas
  • Sudden increases in the intra-abdominal pressure after surgery may lead to wrap failure.
  • Wrap failure includes disruption, slippage, herniation into chest, or a wrap that is too tight.

Disclaimer: As with any Medical procedure or surgery, there are specific risks and possible complications. If you have specific questions about the procedure we suggest you arrange for a consult with the Doctor.

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