Gastroesophageal Reflux Disease (GERD) is a major cause of death for millions around the world and can cause discomfort in the stomach, heartburn, and permanent complications if it is not treated. If you don’t respond well to medications or lifestyle changes Fundoplication Surgery is often recommended as a long-term option.
What happens following the procedure? What type of monitoring, care, and treatment is required to ensure a complete and rapid recovery?
What is Fundoplication Surgery?
Understanding of treatment for fundoplication surgery
Fundoplication is a minimally-invasive procedure to address GERD (acid reflux). In the course of the procedure, the upper portion in the stomach (the fundus) is wrapped around the lower esophageal muscle (LES) to make it stronger, stop acid from refluxing and to restore normal swallowing.
There are a variety of fundoplication.
- Nissen Fundoplication (360deg wrap)
- Toupet Fundoplication (270deg part wrap)
- Dor Fundoplication (anterior partial wrap)
The procedure is usually performed through laparoscopic surgery and has a very high rate of success, usually offering long-term relief GERD symptoms.
Post-Operative Treatment After Fundoplication Surgery
Treatment and recovery following Fundoplication surgery are essential for the best healing and minimising complications.
Hospital Stay and Monitoring
Following surgery, patients usually remain in hospital for a period of 1 to three days for observation. In this period:
- Vital signs and the sites of incision are inspected.
- Treatment for pain is provided via oral or IV medication.
- The practice of breathing is a good way to avoid lung problems.
Pain Management
Moderate to mild pain normal following surgery. Doctors generally recommend:
- Acetaminophen and NSAIDs are used to ease pain.
- Avoidance of strong narcotics, unless required to prevent constipation or dizziness.
Diet After Fundoplication Surgery
The most crucial aspects of post-operative care is diet management.
Week 1-2: Liquid to Soft Diet
- Clear broth, soups that have been pureed gelatin, smoothies and shakes with protein.
- Avoid drinking carbonated beverages and juices that contain acidic substances.
Week 3-4: Soft Foods
- Mashed potatoes, scrambled eggs, well-cooked vegetables, soft fruits.
- Take your food in a thorough manner and eat slowly.
After Week 4: Gradual Return to Normal Diet
- Introduce solid food slowly.
- Avoid food items that are spicy, greasy or high acidic food items at first.
Activity and Mobility
Aim for early ambulation to reduce the risk of blood clots, and increase circulation.
The guidelines include:
- Walking short distances on day 1 post-op.
- Avoid any strenuous or heavy lifting for about 4-6 weeks.
- The physical activity is gradually increasing with medical guidance.
Common Side Effects and How to Treat Them
Gas Bloat Syndrome
A common post-surgery side effect that makes patients experience bloating or are unable to burp.
Treatment:
- Beware of carbonated drinks.
- Eat smaller meals.
- Simethicone (anti-gas medication) can be beneficial.
Difficulty Swallowing (Dysphagia)
It is typical at the beginning of the disease and usually clears up in the course of a few weeks.
Treatment:
- Make sure you follow a soft diet to the letter.
- Drink warm liquids to aid in swallowing.
- Rare cases may need esophageal dilation.
Diarrhea or Constipation
The changes in diet and medication can cause irregular stool movements.
Treatment:
- Make sure you are properly hydrated.
- Utilize stool softeners and fiber supplements according to the advice.
- Avoid spicy or high-fat foods.
Follow-Up Care and Monitoring
Patients should see their gastroenterologist or surgeon when recommended, usually:
- 1 to 2 weeks post-surgery
- 6-week checkup
- Visits to the doctor if you have swallowing problems or symptoms of reflux persist.
When following-ups are required:
- The healing process and the sites of incision are assessed.
- The progress of diet and relief from symptoms are evaluated.
- Imaging or endoscopy can be recommended for more complicated cases.
When to Contact Your Doctor
Get medical attention immediately in the event of:
- Fever above 101degF (38.3degC)
- Persistent vomiting or nausea
- Abdominal pain that is severe or bloating
- Inability to drink liquids
- Infection signs at the site of incision
Long-Term Management After Fundoplication Surgery
Many patients see complete relief from GERD symptoms, but sustaining the lifestyle changes can help improve outcomes.
Strategies for long-term success
- Maintain an appropriate weight.
- Do not lie down immediately after eating.
- Reduce the amount of the consumption of caffeine and alcohol consumption, chocolate, and smoking.
- Continue small, frequent meals.
There are some who require occasional antacids. However, they can generally be used to stop in the long run GERD medications.
Conclusion
Treatment for Fundoplication surgery requires more than merely achieving surgical success. It’s about the right post-operative treatment with proper nutrition, activity modification, and lifestyle adjustments.
If you follow the correct strategy, the majority of patients experience an improvement in their overall quality of life and less acid reflux symptoms, as well as the ease of taking their daily medications. Always consult with your doctor and your healthcare team for individualized guidance and support in your recovery.
