Slipped Nissen Fundoplication

Patients with a slipped Nissen represent a difficult challenge. Those with a gastric pouch above the fundoplication will often have symptoms of severe reflux, regurgitation, and dys-phagia. Not only is food trapped in this pouch during swallowing, acid-rich refluxate pools in this pouch, immediately below an incompetent sphincter. These patients may develop severe erosive esophagitis, strictures, and even Barrett's esophagus if this problem is not alleviated. It should be no surprise that these patients are extremely grateful when the fundoplication is placed in the correct location on the esophagus. It may be impossible, preoperatively, for the surgeon to determine whether the fundoplica-tion has truly slipped, or whether it was misplaced initially. Reoperation in patients with a misplaced fundoplication often reveals that the mediastinal component of the esophagus, just

PERSISTENT SYMPTOMS AFTER ANTI-REFLUX SURGERY AND THEIR MANAGEMENT

above the gastroesophageal junction, was never mobilized during the first procedure and there is very adequate esophageal length to place the fundoplication higher up in the correct position. Alternatively, if the fundoplication is truly slipped onto the stomach, especially in patients with advanced esophageal disease, this may indicate a shortened esophagus which will need to be addressed with a gastroplasty. The operative principles will be discussed in another chapter.

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Responses

  • dario
    What happens when nissen fundoplication slip?
    2 years ago
  • HEIKKI
    What happens if a neisen fundoplication fails?
    1 year ago
  • camelia
    What are the symptoms of slipped nissen fundoplication?
    1 year ago
  • Jens
    What is a slipped nissen and can it be prepared?
    12 months ago
  • Adelfo
    What is icd10 diagnosis code for slipped nissen fundoplication?
    9 months ago
  • wiseman
    What are signs of a slipped fundus wrap?
    7 months ago
  • markus
    How to determing if nissen fundoplication has slipped?
    6 months ago
  • semhar
    What makes the nissen fundoplication slip?
    4 months ago
  • Saradoc
    WHAT DOES IT MEAN WHEN THE NISSEN SURGERY SLIPS?
    3 months ago
  • Eliisa
    Can the band slip after a nissan fundoplication?
    3 months ago
  • olive
    What causes nissen surgery to slip?
    2 months ago
  • poppy
    Can a slipped nissen fundiplication repair?
    2 months ago

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