Are You a Candidate for Nissen Fundoplication?

Are You a Candidate for Nissen Fundoplication?

Julia from Humble sent us this question: “If one is not a candidate for a Nissen Fundoplication due to poor motility and a previous Nissen, would it be possible to have Roux-en-Y gastric bypass surgery to alleviate reflux? Thank you.” Dear Julia, At Houston Heartburn and Reflux Center, very...

Nissen fundoplication and Dysphagia

Nissen Fundoplication and Dysphagia

“Clinical Significance of Esophageal Outflow resistance Imposed by a Nissen Fundoplication”, is a new study published by Demeester el al in the journal of the American College of Surgeons, JACS. Using esophageal manometry, the authors measured intrabolus pressure in normal subjects and in acid reflux...

Nissen Fundoplication Improves Quality of Life

Nissen Fundoplication Improves Quality of Life

“Laparoscopic Nissen fundoplication improves disease specific quality of life in patients with GERD and functional esophageal outflow obstruction” is a recently published study in Surgical Endoscopy. The authors demonstrate that functional esophageal outflow obstruction noted on manometry in acid reflux patients is not a contraindication...

Your Diet after Nissen Fundoplication

When and what can I eat after Nissen fundoplication surgery for heartburn is a very common question. At Houston Heartburn and Reflux Center we have adopted a dietary guideline for our patients to follow after Nissen fundoplication surgery. Following anti-reflux surgery, the distal part of...

When to Stop PPIs after Nissen Fundoplication?

Acid reflux patients often wonder when does heartburn go away after Nissen fundoplication? The short answer is immediately.  Properly performed hiatal hernia repair and Nissen fundoplication restore a competent anti-reflux barrier. Consequently, acid reflux patients who have taken PPIs for years are consulted to stop...

Nissen Fundoplication for Acid Reflux treatment

Nissen Fundoplication for Acid Reflux treatment

Nissen fundoplication surgery, when properly performed, sets the bar quite high in terms of our expectations for new treatment modalities for acid reflux disease. Heartburn patients with objective evidence of acid reflux who undergo Nissen fundoplication and hiatal hernia surgery at Houston heartburn and Reflux...

Endoflip for Heartburn Treatment: Tailoring the Fundoplication

Endoflip for Heartburn Treatment: Tailoring the Fundoplication

Proper acid reflux testing is a crucial element of any successful heartburn and GERD management program. Endoflip, functional luminal imaging probe, is a relatively new testing modality that is finding its way into clinical practice. Endoflip uses an inflated balloon that is positioned within the...

Nissen vs Toupet Fundoplication for Heartburn Treatment

Nissen vs Toupet Fundoplication for Heartburn Treatment

Rick from Houston sent us this question: My acid reflux doctor gave me the option of partial, 270 degree also known as Toupet fundoplication or complete, 360 degree wrap, also known as Nissen fundoplication. My doctor explained that Nissen fundoplication is sometimes a little difficult...