Nissen fundoplication by laparoscopy

What is it?

Also known as reflux surgery, it is a procedure in which general anesthesia lasts for about 90 min and consists of correction , for Middle of surgery on the upper stomach, reflux problem . In this procedure it is not necessary to extract any organ, what is done is a modification in the anatomy of the stomach so that it does not return the food and the acid to the esophagus. The surgery is performed by means of small incisions in the skin (4) of a half centimeter to 1 centimeter the largest, through which a high resolution camera and instruments are introduced.


In surgery of Nissen or Anti Reflux, the goal is to prevent reflux of the stomach into the esophagus, therefore a major anatomical modification is performed in the upper part of the stomach at its junction with the esophagus.

It is expected that in the first 2 to 3 weeks after surgery the eating habits, as well as the ability to ingest them, will change. But do not be alarmed, after those weeks you will return to your normal feeding routine, but without the unpleasant effects of reflux.

General Tips and Warnings:

  • The diet of clear liquids, can sometimes extend up to 1 week, however in most cases it is only 2 days.
  • You will notice at first that you can not belch, Do not force yourself or be alarmed, is due to surgery and you can burp after several weeks.
  • You will notice at first that you fill up faster, it is a normal effect after surgery because a portion of the stomach was used to create the anti-reflux mechanism, so that the gastric capacity is initially reduced by 20 to 30% without However, it will return to your normal capacity in 4 to 6 weeks.
  • Make 5 or 6 meals a day, with small to moderate portions, eat until you feel satiated NOT to fill.
  • Walk 5 to 10 minutes minimum after meals to facilitate the movement of gas accumulated in the stomach as well as digestion.
  • Generally after the second or third day, it starts with broths, creams, purees or papillas. Take them slowly and add consistency to food gradually as the days go by, you can accompany them with crackers.
  • In the first week is recommended only fish fillet as a source of meat.
  • After the second week you can add chicken or soft, lean and ground beef or cut into small pieces.
  • Do not forget to eat slowly and chew the food well.
  • Avoid very cold or very hot liquids, as these could irritate your esophagus.
  • Do not drink carbonated or carbonated beverages.
  • Do not use straws to take fluids as these cause you to ingest more air into your stomach.

Prohibited or Very Limited Foods:

  1. Chocolate
  2. Red and greasy meats (especially the first 2 weeks)
  3. Sausages (sausage, sausage)
  4. Seafood (shrimp, crab, octopus, oysters)
  5. Whole milk, butter, whole cream ice cream
  6. Garlic, cauliflower, turnips, peppers, radishes, onion
  7. Spicy sauce, spices, vinegars
  8. Fried or breaded foods
  9. Alcohol
  10. Carbonated or carbonated soft drinks