Talk:Nissen fundoplication

Is this right?
The entry says: Initially vomiting is impossible, however, over time as the wrap settles, small amounts of vomit may be produced and in extreme cases (such as alcohol poisoning or food poisoning) vomiting may be totally possible. The part that concerns me is the bolded entry. Is it correct and if so, should it be stated clearer? Pgrote (talk) 13:49, 10 August 2008 (UTC)

Would this surgery also apply to an individual with Gastroparesis, also having Gerd? BriarpatchParadise (talk) 20:37, 7 March 2016 (UTC)

Deletion of bibliography section
The bibliography section simply had a link to reference.com. The content provided there was just a regurgitation of the wikipedia entry so I deleted it.--209.7.195.158 14:02, 3 April 2007 (UTC)

It is very correct and I am getting ready to have a repeat Lap Nissen Fundolplication because after 11 years mine finally came apart. The relfux returned immediately. 62 episodes in a 20 hour period of reflux. I am eager to have it redone so I can have another 11 years or more of medication free, pain free relief —Preceding unsigned comment added by 24.205.218.26 (talk) 04:22, 15 October 2008 (UTC)

Viewing Deleted Entries
To examine ideas or original research go to the History tab and click on the date of deleted articles. Good ideas without valid sources are deleted, however they are stored in the history. Knowing this can allow you to access original concepts in any topic.

Only editing an article once, allows many people to get articles into the history section without wasting wikipedia space.

Even if your article is deleted immediatly, fear not it is stored in the history section for inquiring minds to read.

So when researching a topic, check out the history page as well. Just remember not all entries are good, however some might be.

Such at this one from m.schaub@hotmail.com —Preceding unsigned comment added by 69.14.57.8 (talk) 18:44, 21 March 2009 (UTC)


 * Inquiring minds need high-quality well-sourced information, not some speculative stuff from someone who is not necessarily unbiased. Please familiarise yourself with WP:NOR, WP:RS and WP:COI before proceeding any further. JFW | T@lk  08:18, 15 July 2007 (UTC)

References Added
i added some referencesSuperscript text and new material. the linked referenced articles have a wealth of information relevant to this article, but i am not able to extensively update right now (so someone else may want to).

i did not remove the "lacking references" tag because i simply do not feel i have the authority to do so. someone may want to review the changes first. Meeple 00:47, 7 August 2007 (UTC)


 * Thank you, well done. I have replaced the CNN reference with academic ones, as it badly misrepresented the procedure. Don't you agree it is rather condescending to recommend lifestyle changes to people who have tried everything and would give a limb to be relieved of GERD? JFW | T@lk  06:11, 7 August 2007 (UTC)

Complications
The penultimate paragraph reads very strangely....

"During a laparoscopic Nissen fundoplication the operable area is inflated with gas to make the operation easier, which puts pressure on gastrointestinal organs, inhibiting their correct function. This, in conjunction with psychological and physical trauma from the operation, results in "post operative irritable bowel syndrome". The symptoms are usually initial constipation (due to recent paralysis of the muscles controlling peristalsis because of the use of anesthetics such as Propofol), remaining air, and trauma. Once the fecal matter is expelled, rapid onset diarrhea and gas expulsion is expected. Diverticulitis may occur if more fibrous material are consumed (such as porridge oats). Constipation will occur if too much fiber is eaten, which can last from 1 – 3 days, with lower frontal cramping."

What is an operable area? The gas is not making the op easier - it makes a laparoscopic operation possible in the first place. The description of ileus is quite odd, and the causative mechanism proposed seems wrong - for example, propofol does not cause paralysis. Where did the air come from (carbon dioxide is usually used for insufflation). Why all the weird 'Kellogg' details? And how could you get diverticulitis without having had diverticulosis in the first place? This alone shows that the author did not understand the subject, and leads me to suspect that the whole paragraph is just assertion, without justification, evidence, or even understanding of principles (let alone the meaning of the words used)!

Sorry I can't be more constructive, but I only know enough (having - for example - given propofol many hundreds of times) to know that this paragraph is highly misleading!

Shane Wilde (talk) 22:56, 8 November 2011 (UTC)

More References, Some Updates, Suggest Split
I'm contemplating getting the currently more popular partial fundoplication laproscopic procedure, and it might be an idea at some point to split this article to differentiate the details and outcomes. From my considerable reading of publicly available research (especially the longer, more recent and full text articles), it appears that outcomes have improved dramatically from the new techniques as used at the leading clinics. Some of the complications listed are all but eliminated by using partial rather than complete (Nissen) fundoplication. If the article were split and cross-linked, it could help others consulting Wikipedia for information about surgical options. The main difficulty other than dividing the article might be in naming it, though if the most commonly used procedure & name could be determined the others could all be redirected to that one which could begin with a descriptive intro and details on the differences. Jw4nvc (talk) 06:21, 13 March 2015 (UTC)
 * Case in point Medscape. See refs 36 and 44, though they are not reviews.
 * A possible solution would be to move to Fundoplication, and have sections on Nissen and partial, with sub-sections on Lind, Toupet, etc.
 * All the best: Rich Farmbrough, 15:14, 27 December 2015 (UTC).

Nissen-Rosetti fundoplication
Is this just a synonym, or a variant? All the best: Rich Farmbrough, 15:11, 27 December 2015 (UTC).

Would this procedure also be of value to an individual with Gastroparesis and severe Gerd? BriarpatchParadise (talk) 21:21, 7 March 2016 (UTC)

Wiki Education assignment: 2021-22 TCOM WikiMed Directed Studies
Workplan: My goal for this project is to expand on the information provided in the article, while providing neutral, unbiased information from readily available resources. I plan on adding a section titled "Indications" detailing the reasons for surgical intervention in a patient. I also plan on adding additional information to the "Complications" section of the article. The information that will be added to this article will be presented in a manner to limit medical jargon. Additional citations and resources obtained from PubMed and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) will be added to the article as well. — Preceding unsigned comment added by VP0200 (talk • contribs) 22:40, 6 March 2022 (UTC)