Yes, weight loss is common after Nissen fundoplication due to the restrictive diet (liquids, purees) initially and the stomach's reduced capacity, leading to feeling full faster (early satiety), with typical initial loss around 10-15 pounds, though it's crucial to focus on protein and calories to prevent excessive loss and maintain nutrition.
As a result of changes caused by these operations, most patients will experience some weight loss. The capacity of the stomach is decreased slightly and it doesn't distend as much until healing occurs. On average, our patients lose approximately 10% of their weight.
Because the surgery makes your stomach a little smaller, you may get full more quickly when you eat.
You can shed some pounds after hernia surgery because the diet plan after the operation is all liquids. Most people who have surgery for a hiatal hernia can expect to lose between five and ten pounds.
One study found that after 1 year, people undergoing adjustable gastric banding, gastric sleeve, and gastric bypass lost between 38 and 87 pounds. Of the three most common procedures, gastric bypass produced greater weight loss, on average, but had more complications in the month after surgery.
Gastric sleeve patients lose between 60 and 70 percent of their excess body weight within 12 to 18 months, on average. Gastric bypass surgery is generally recommended for very obese patients with a Body Mass Index over 45.
Losing Weight After a Tummy Tuck
Similar to gaining weight after surgery, if you lose a small amount of weight, then there may be no detectable changes in your results. However, significant weight loss after a tummy tuck can result in loose abdominal skin.
Not only will it decrease the chance of a hernia recurrence, but will improve your core strength, stop post-pregnancy bulging due to abdominal wall laxity, and create a flatter, more functional muscular abdomen.
What Is Typical Weight Loss After Hiatal Hernia Surgery? “Most people typically lose five to 10 pounds following hiatal hernia surgery,” says Dr. Ali, noting that people who were significantly overweight at the time the surgery was performed may lose more.
Possible long-term complications after hernia surgery
Hematomas (collection of blood). Adhesions. Abscesses. Injury to nearby tissues, organs or blood vessels.
Nissen fundoplication not only relieves symptoms of acid reflux, but it can also help prevent future complications—even for patients whose acid reflux symptoms are mostly well managed by medications. Oftentimes, these patients are unaware of the long-term effects of GERD.
A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. A hernia usually develops between your chest and hips. In many cases, it causes no or very few symptoms, although you may notice a swelling or lump in your tummy (abdomen) or groin.
Possible complications associated with laparoscopic Nissen fundoplication include: Bleeding at the surgical site. Difficulty swallowing (dysphagia) because your stomach is wrapped too high on your esophagus or wrapped too tightly. Difficulty belching.
Conclusions: Nissen Fundoplication has a positive impact on quality of life and is effective in reducing symptoms of heartburn, regurgitation, burping and difficulty lying down associated with a hiatus hernia. There is however an increase in the incidence of flatulence associated with the procedure.
If a person eats less and gets full quickly, it stands to reason he or she will lose weight. Following anti-reflux surgery, patients can expect to lose 10 to 20 pounds. This resolves in a few months. The inability to vomit because the valve stops the regurgitation of material from the stomach into the esophagus.
Weight-loss benefits of LSG
In the first 2 years after LSG, most people will lose between 40% and 50% of their body weight. If your BMI before surgery is 60 or more, you may lose about 125 pounds.
Conclusions: BMI > 33.67 kg/m2 was the identified threshold at which hernia recurrence rate significantly increased in patients in a large county hospital system who underwent ventral hernia repair, and the risk continued for up to 6 years.
The body's response to surgery, an expected loss of appetite, and dietary restrictions can all lead to weight loss after hiatal hernia surgery.
Causes of Weight Loss Post-Op
Some pain management drugs can cause a loss of appetite in certain patients, which can make it difficult to keep your weight at healthy levels post-op. The lingering effects of anesthesia can also cause loss of appetite, as well as nausea and vomiting.
Weight loss after hernia surgery is relatively common and can result from a combination of reduced appetite, dietary changes, and metabolic demands of healing.
Hiatal hernia surgery risks
Common risks include infection, bleeding and adverse reactions to anesthesia. There's also a risk of injury to nearby organs during the procedure. More specific to hiatal hernia surgery, patients may experience difficulty swallowing, known as dysphagia.
The "6-2 rule" for inguinal hernias in children is a guideline for surgical timing: Neonates (birth-6 weeks) need surgery within 2 days; children 6 weeks to 6 months need it within 2 weeks; and children over 6 months need it within 2 months, because younger infants have a higher risk of incarceration (strangulation). For adults or older children with reducible hernias, some sources suggest seeing a surgeon if symptoms last over six weeks.
Post-Surgery Fluid Retention
Sometimes after surgery water is retained in the areas between your organs, which can lead to a bloated appearance. This fluid retention can be localized—like swollen hands and feet—or it can be more generalized to give the appearance of overall weight gain.
The Importance of Choosing the Right Surgeon
One of the most crucial factors for a successful tummy tuck is selecting an experienced, board-certified plastic surgeon. Patients often wish they had spent more time researching their surgeon's qualifications and patient reviews.
While a second tummy tuck can be an effective way to address issues that were not fully resolved during the initial surgery, there are risks associated with the procedure. It is important to have a conversation with your surgeon and discuss all options available before making a decision.