Best Doctors in India for Nissen fundoplication
- Liver Transplant Surgeon and HPB Surgeon, Chennai, India
- Over 15 years’ experience
Profile Highlights:
- Dr. Selvakumar Naganathan is one of the best liver transplant surgeons in India with nearly 15 years of experience.
- He has carried out more than 2000 procedures, including 300 donor & 500 recipient hepatectomies, cadaver transplantations, retrieval of cadaver livers, and live donor liver transplants.
- He also established many liver transplantation centers across India & other countries.
- General Surgeon and Surgical Gastroenterologist, Chennai, India
- Over 27 years’ experience
Profile Highlights:
- Dr. Raghunath K J is a well-known name in the field of general surgery with an experience of more than 27 years.
- He went under training in advanced Laparoscopic surgery from Canada and France.
- Dr. Raghunath pioneers many prestigious projects in the UK.
- Dr. Raghunath has a specialized interest in Gall Bladder Stone treatment, Hernia, GI Cancer Surgery, Laparoscopic Sleeve Resection, Endoscopic Surgery, etc.
- Colorectal Surgeon and Robotic Surgeon, Chennai, India
- Over 26 years’ experience
Profile Highlights:
- Dr. Venkatesh Munikrishnan is one of the best Gastroenterologists and Colorectal Surgeons in Chennai, having 21 years of experience in managing disorders that need surgical treatment.
- Dr. Munikrishnan specializes in surgical oncology, endoscopy, Gastritis Treatment, etc.
- He is also active in research; one of his research on CT Colonography fetched a grant from Bracco, Milan, Italy.
- GI Surgeon and Liver Transplant Surgeon, Gurugram, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Amit Nath Rastogi is a pioneer in the field of liver transplant surgery. He completed his fellowship in liver transplant surgery at Sir Gangaram hospital while being a part of the largest liver transplant program in the country.
- Furthermore, he received his training in robotic liver surgery from IRCAD -Strasbourg, France, and advanced robotic HPB training from Grosseto.
- Liver Transplant Surgeon, Gurugram, India
- Over 10 years’ experience
Profile Highlights:
- Dr. Prashant Vilas Bhangui is one of the highly trained liver transplant specialists who received his training in Surgical Gastroenterology and Liver Transplantation.
- He also holds a European Inter-University Diploma in Hepato-Biliary-Pancreatic Cancers.
- Dr. Prashant is further interested to work in certain fields which include hepatocellular carcinoma, colorectal liver metastases, and living donor liver transplantation. Besides this, he has also published several journals on these subjects.
- Gastroenterologist, Gurugram, India
- Over 7 years’ experience
Profile Highlights:
- Dr. Abhinandan Mishra is one of the young Gastroenterology doctors in Gurugram who is particularly interested in inflammatory bowel disease treatment.
- Dr. Abhinandan Mishra offers Endoscopic Retrograde Cholangiopancreatography, Ascites tap, Endoscopy, Peroral Endoscopic Myotomy, Capsule Endoscopy, Esophageal Manometry, Magnetic Resonance Cholangiopancreatography, etc.
- Gastroenterologist, Gurugram, India
- Over 18 years’ experience
Profile Highlights:
- Dr. Atul Sharma is a renowned Gastroenterology practitioner in Gurugram and is particularly interested in Third Space Endoscopy and Per Oral Endoscopic Myotomy (POEM).
- He presented several papers on Manometry, Luminal gastroenterology, and interventional Gastroenterology during training in Advanced Interventional GI Endoscopy.
- Gastroenterologist, Gurugram, India
- Over 15 years’ experience
Profile Highlights:
- Dr. Kapil Jamwal is a renowned GI practitioner in Gurugram with an extensive experience in digestive and liver disease.
- The specialist offers treatment for Hepatitis B, Jaundice, Hepatitis C, Inflammatory Bowel Syndrome, Acute Pancreatitis, Liver Diseases, and Irritable Bowel Syndrome.
- Gastroenterologist, Gurugram, India
- Over 18 years’ experience
Profile Highlights:
- Dr. Rajesh Padhan is a renowned Gastroenterologist in Gurugram with an extensive experience of more than 18 years in the field.
- He is skilled in carrying out various endoscopy procedures such as Colonoscopy, Endoscopic retrograde cholangiopancreatography, Endoscopic ultrasound, upper GI endoscopy, etc.
- Gastroenterologist, Hepatologist, Gurugram, India
- Over 25 years’ experience
Profile Highlights:
- Dr. Sakshi Karkra is one of the best Pediatric gastroenterologists in Gurugram.
- She has special interest/ expertise in Colonoscopy, Upper GI Endoscopy, Capsule endoscopy, Enteroscopy, Endoscopic variceal ligation, Foreign body removal, Stricture & achalasia dilatation, Polypectomy, Anal manometry, Liver Biopsy, and Colonic manometry.
Best Hospitals in India for Nissen fundoplication
Nissen Fundoplication
Nissen fundoplication referred to as Lap Nissen, is a surgery performed on patients suffering from Gastroesophageal reflux disease (GERD). This procedure is minimally invasive and it is meant to restore the functions of your lower esophageal sphincter, the valve between the esophagus and your stomach by wrapping the stomach around the esophagus.
It further helps to prevent the reflux of the acid and bile from the stomach into the esophagus.
Purpose
Patients suffering from GERD can usually control it with medication. However, if medications are not helping or if one wish to avoid their long-term use, then the patient can go for multiple surgeries. Nissen fundoplication is the most common surgery performed on GERD patients. This illness causes heartburn, regurgitation and dysphagia. Patients who have a good response to antacid therapy and also have a positive esophageal pH assessment are usually recommended this surgery.
Preparation
Before you go through this surgery, several investigations are necessary, which includes an upper endoscope and a barium swallow x-ray. This is important for assessing any narrowing in the esophagus as well as to look for any hiatal hernia, as it can worsen your reflux disease.
Other investigations can include esophageal manometry, done to measure the pressures generated within the esophagus with swallowing. In this test, a small thin catheter is passed through the nose down the esophagus. The catheter then measures pressures at multiple points within the esophagus. After this, you will swallow small gulps of water to initiate muscle movement within the esophagus known as peristalsis. This should continue down the esophagus in a coordinated fashion and will generate adequate pressure so that the water can pass into the stomach. It will also study the pressures within the lower esophageal sphincter. This test is important as it provides information on the lower esophageal sphincter tone as well as esophageal function.
It is also important to note that few conditions within the esophagus can mimic reflux disease. However, but they are treated in a completely different way.
Procedure
The surgeon will first wrap the top of your stomach around your lower esophageal sphincter, as this will tighten the muscle and prevent reflux. Usually, fundoplication is performed as a minimally invasive procedure. The wrapping of the top part of your stomach may be partial or complete.
The entire procedure should not take more than 2-3 hours. You may need to stay in the hospital for 2-3 days and you will be able to return to your normal activities in less than a month.
After the Procedure
For around 14 days, following a few dietary restrictions as advised is necessary. After about one month, the patients can stop taking all their medications. They can also take meals during late hours and lie flat in the bed, which they could not do prior to the surgery.
Risks and complications
Nissen fundoplication is known to be quite safe as well as effective and it has a mortality rate of less than 1%. According to studies, nearly 90 percent of patients, who went through the procedure is still free of any symptoms after ten years.
In few cases, there might be some complications, which can include “gas bloat syndrome”, dysphagia (trouble swallowing), dumping syndrome, excessive scarring, vagus nerve injury and in rare cases achalasia.
The fundoplication can also become undone over time in around 5–10% of cases, which can lead symptoms to reoccur. If a repeat surgery is required, the surgeon might consider using Marlex or any such artificial mesh for strengthening the connection. Postoperative irritable bowel syndrome is also possible and it might last for around two weeks.