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GERD Nissen Fundoplication in Mumbai

Gastroesophageal reflux disease (GERD) affected millions of people worldwide, causing discomfort and potential long-term complications. Nissen fundoplication has emerged as a highly effective surgical treatment for severe or chronic GERD cases. This comprehensive guide aimed to provide clear, accessible information about GERD, Nissen fundoplication, and the various aspects of this treatment available in Mumbai.

Explained by the Gastroesophageal reflux disease Specialist – Dr Pradeep Shriyan.

GERD Treatment in Mumbai

Brief about GERD

GERD occurred when stomach acid frequently flowed back into the esophagus, the tube connecting the mouth and stomach. This backwash (acid reflux) irritated the lining of the esophagus, causing symptoms like heartburn and difficulty swallowing. While many people experienced acid reflux from time to time, GERD involved more frequent and severe symptoms that significantly impacted quality of life.

Nissen fundoplication, a surgical procedure, has become a gold standard for treating severe GERD cases that did not respond well to medication or lifestyle changes. This procedure involved wrapping the upper part of the stomach (fundus) around the lower esophagus to strengthen the barrier between the stomach and esophagus, preventing acid reflux.

GERD Treatment in Mumbai

Causes of GERD

Several factors contributed to the development of umbilical hernias:

  1. Congenital weakness: Some individuals were born with a weakness in the abdominal wall around the navel, making them more susceptible to developing an umbilical hernia.
  2. Increased abdominal pressure: Conditions or activities that put excess pressure on the abdominal wall could lead to umbilical hernias. These included:
    1. Obesity
    2. Pregnancy, especially multiple pregnancies
    3. Heavy lifting or strenuous physical activity
    4. Chronic coughing or sneezing
    5. Constipation and straining during bowel movements
  3. Previous abdominal surgeries: Incisions from prior surgeries could weaken the abdominal wall, potentially leading to hernias.
  4. Age-related changes: As people aged, the abdominal muscles could weaken, increasing the risk of hernia formation.
  5. Fluid in the abdomen (ascites): Conditions that caused fluid build-up in the abdomen could increase pressure and lead to umbilical hernias.
  6. Premature birth: Babies born prematurely had a higher risk of developing umbilical hernias.

Symptoms of GERD

Recognizing GERD symptoms was crucial for timely intervention and consideration of treatments like Nissen fundoplication. Common signs and symptoms included:

  1. Heartburn: A burning sensation in the chest, often after eating or when lying down
  2. Regurgitation: The backflow of stomach acid or partially digested food into the mouth
  3. Difficulty swallowing (dysphagia)
  4. Chest pain
  5. The sensation of a lump in the throat
  6. Chronic cough, especially at night
  7. Hoarseness or sore throat
  8. Disrupted sleep due to nighttime reflux
  9. Dental erosion from stomach acid exposure
  10. Asthma-like symptoms or worsening of existing asthma

Patients experiencing these symptoms frequently or severely should seek medical evaluation to determine if GERD Nissen Fundoplication in Mumbai or other treatments were appropriate.

Symptoms of GERD

Diagnostic Procedures for GERD Treatment

Accurate diagnosis was essential for determining the need for GERD Nissen Fundoplication in Mumbai. Various diagnostic procedures were employed to assess GERD severity and suitability for surgical intervention:

  1. Medical history review and physical examination: A thorough discussion of symptoms and medical history, along with a physical exam, formed the foundation of diagnosis.
  2. Upper endoscopy: A thin, flexible tube with a camera was inserted through the mouth to examine the esophagus, stomach, and upper part of the small intestine.
  3. Ambulatory acid (pH) probe test: A monitor was placed in the esophagus to detect when, and for how long, stomach acid regurgitated into the esophagus.
  4. Esophageal manometry: This test measured the strength and coordination of esophageal muscles during swallowing.
  5. Barium swallow radiograph: X-rays were taken after swallowing a barium solution to visualize the shape and function of the esophagus.
  6. Impedance monitoring: This test measured the movement of liquids and gases in the esophagus.
  7. Bravo pH monitoring: A small capsule attached to the esophagus measured pH levels over 48 hours.
Upper Endoscopy

Nissen Fundoplicationin Mumbai

GERD Nissen Fundoplication in Mumbai was typically recommended when other treatments had failed to provide relief. The procedure involved the following key steps:

  1. Anaesthesia administration: General anaesthesia was given to ensure the patient remained comfortable throughout the surgery.
  2. Incisions: For laparoscopic Nissen fundoplication, several small incisions were made in the abdomen. For open surgery, a larger incision was made.
  3. Fundus wrapping: The upper part of the stomach (fundus) was wrapped around the lower esophagus and stitched in place, creating a tighter sphincter to prevent acid reflux.
  4. Hiatal hernia repair: If present, a hiatal hernia was repaired during the procedure.
  5. Closure: The incisions were closed with stitches or surgical glue.

This surgical technique effectively strengthened the lower esophageal sphincter, reducing or eliminating GERD symptoms for many patients.

In addition to Nissen fundoplication, other treatment options for GERD included:

  1. Lifestyle modifications: Dietary changes, weight loss, and avoiding trigger foods.
  2. Medications: Proton pump inhibitors (PPIs), H2 blockers, and antacids.
  3. Endoscopic treatments: Procedures like Stretta or TIF (Transoral Incisionless Fundoplication).
  4. Other surgical techniques: Toupet fundoplication or LINX device implantation.

The choice of treatment depended on the severity of GERD, the patient’s overall health, and the response to previous treatments.

Aspect

Details

Procedure

Nissen Fundoplication

Purpose

Treat severe or chronic GERD

Technique

Wrapping upper stomach around lower esophagus

Approach

Laparoscopic (minimally invasive) or open surgery

Duration

2-3 hours

Hospital stay

1-3 days for laparoscopic, 5-7 days for open surgery

Recovery time

2-6 weeks, depending on the approach

Success rate

80-90% long-term success

Potential complications

Difficulty swallowing, bloating, inability to belch or vomit

FAQ Section

Cost and Insurance Information for Nissen Fundoplication in Mumbai

The cost of GERD Nissen Fundoplication in Mumbai varied depending on factors such as the surgical approach (laparoscopic or open), the hospital chosen, and the length of stay. On average, the cost ranged from INR 2,50,000 to INR 5,00,000. However, these figures were approximate and could vary based on individual circumstances.

Many health insurance plans in India covered GERD treatments, including Nissen fundoplication. However, coverage could vary depending on the specific policy and the nature of the treatment. Patients were advised to check with their insurance providers to understand their coverage details.

Dr. Pradeep Shriyan, a seasoned and accomplished laparoscopic and general surgeon, is a trusted professional serving the Mumbai Suburban. With a wealth of experience and expertise, Dr. Pradeep Shriyan specializes in a wide range of procedures.

Whether you require expert care for hernia repair, Nissen Fundoplication, recurrent hernia or any other related condition, we invite you to schedule an appointment with the highly skilled and trusted professional, Dr. Pradeep Shriyan. With his extensive expertise and experience, Dr. Shriyan is committed to delivering top-notch surgical interventions to address your specific needs.

Take the first step towards improved health and well-being by booking an appointment with Dr. Pradeep Shriyan today.

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Pre-operative Care

• Have nothing to eat or drink 6 Hours before surgery except for prescribed medications you have been told to take with a sip of water.

• Report 2 hours before the Surgery time (OT Procedure)

• Carry Doctor’s Case Paper on which treatment is written at the time of Admission to Hospital

• Carry Insurance Documents with you to the Hospital before Admission

• Do not apply any lotions, perfumes, deodorants, or Nail polish before surgery

• Take off your jewellery including earrings and piercings

• Don’t shave the area, this will be taken care by Hospital nurse

Download Pre-operative Care Instructions

Post-operative Care

1. Take pain relieving and other medications as advised. Pain-relieving medication should be taken with food.

2. Follow-up with the doctor after a period of 10 days.

3. Eat a healthy diet and drink plenty of non-alcoholic and non-caffeinated drinks.

4. Do not operate any machinery, or lift any heavy articles after Surgery

5. Rest for a few days after the surgery is advisable, but keep mobile.

6. Avoid Bath till the dressing and stiches gets dissolve but if Waterproof dressing is used then can take a bath.

Please consult doctor immediately if you experience any of the following symptoms:

• Large amount of swelling under the wound
• Increased drainage from the incision (Operated area)
• Increased redness around the operated area
• Sudden calf pain or shortness of breath
• Foul odour from operated area
• Chest pain
• Fever greater than 38.0 degrees C.



Download Post-operative Care Instructions
Laparoscopic Surgeon in Mumbai

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