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Nissen under laparoscopy

  • Admission the day before surgery
  • No bowel preparation required
  • Operating time 1 hour
  • Laparoscopy
  • Drinks allowed the evening following surgery
  • Resumption of oral diet the fol-lowing day with blended foods, to be kept up for 15 days
  • Length of hospital stay 3 days on average
Normally, the continence of the lower oesophageal sphincter prevents the contents of the stomach from flowing back into the oesophagus. When acid reflux resists to simple medical treatment (proton pump inhibitors), the fol-lowing additional tests are recommended:

Oesophagogastroduodenoscopy, carried out by your gastroenterologist
pH-meter when the diagnosis of reflux is not certain.

Surgical treatment is necessary when medical treatment has failed. This procedure (Nis-sen) is always feasible under laparoscopy and consists in strengthening the lower oesophageal sphincter by creating an anti-reflux valve with the upper part of the stomach. The main complication is the difficulty in swallowing solid foods in the weeks following the operation (about 40% of cases), and the need to eat mixed and blended food during that time.