Dumping syndrome is a rare presentation after Nissen fundoplication and is predominantly reported in the pediatric population. Many of these reports suggest that there may be an association with vagal nerve damage, although the exact etiology is unclear.
Generally, you can help prevent dumping syndrome by changing your diet after surgery. Changes might include eating smaller meals and limiting high-sugar foods. In more-serious cases of dumping syndrome, you may need medications or surgery.
Complications of NF include dysphagia, diarrhea and flatulence, recurrent heartburn and atypical symptoms. The fundoplication can also come undone over time in about 5 to 10% of cases1.
It's normal to feel full more quickly than usual after your surgery. This is because your stomach is slightly smaller. Eating or drinking too much at once can cause discomfort. This should slowly get better over about 6 to 8 weeks.
Bowel Movements
Some patients also find that they have diarrhea or "loose bowels" for the first days after their hernia repair — in the vast majority of cases, the bowel function normalizes with time. Constipation may also be common due to the pain medication.
Although the exact mechanism of dumping syndrome after fundoplication is unclear, we believe the loss of fundal accommodation plays a role in rapid gastric emptying. It is important to recognize that most symptoms improve from both gut adaptation and patient education.
The urge to poop after a meal is often called a gastrocolic reflex. In this case a response is triggered in the colons once the food is eaten and it leads to colonic contractions. These colonic contractions following food consumption pushes the digested food in the body toward the rectum for defecation.
You should be able to progress to a soft-normal diet 4 – 6 weeks after surgery. What is a soft-normal diet? A soft-normal diet involves gradually introducing more solid textures to your diet. While you are having a soft-normal diet you should avoid the same foods you were advised to avoid on page 4.
Doctors discourage you from eating chocolates after getting the Nissen Fundoplication surgery.
A soft diet is recommended for the first 2 to 6 weeks following surgery. You will then slowly advance to a regular diet; depending on your progress and tolerance for food. The foods tolerable on this diet can vary greatly from one person to the next.
Side effects
For instance, a full 360-degree fundoplication helps reduce symptoms of reflux, but it also makes it difficult for the sphincter to open at other times to release pressure. This can make it very difficult for the person to burp or vomit when necessary.
This is the name given to the most common operation to stop reflux. The operation helps to prevent vomiting and reflux by “wrapping” the top part of the stomach around the bottom part of the oesophagus. This tightens the oesophagus and prevents backflow of food and stomach acid.
During a Nissen fundoplication
The procedure normally takes about 1 hour to 1 hour 30 minutes. The surgeon makes 4 to 5 small cuts in your tummy (abdomen). They insert instruments through these cuts to do the surgery.
Definition & Facts. Dumping syndrome is a group of symptoms, such as diarrhea, nausea, and feeling light-headed or tired after a meal, that are caused by rapid gastric emptying.
A severe case can cause rapid weight loss and nutritional deficiencies. Persistent, unmanaged diarrhea can cause dehydration, but these complications can usually be managed or prevented with self-care. Most people have mild symptoms that ease over time. Dumping syndrome is not usually permanent.
Change your diet.
Limit high-sugar foods, such as candy, table sugar, syrup, sodas and juices. The natural sugar in dairy products (lactose) might worsen your symptoms. Try small amounts at first, or eliminate them if you think they're causing problems.
The cramping and bloating usually go away in 2 to 3 months, but you may continue to pass more gas for a long time. Because the surgery makes your stomach a little smaller, you may get full more quickly when you eat. In 2 to 3 months, the stomach adjusts. You will be able to eat your usual amounts of food.
When a gastric sleeve or bypass is attempted, the entire fundoplication must be taken down and normal anatomy restored. This is difficult and carries significant risk of tearing or making a hole in the stomach, among other complications.
Do not drink alcohol for 24 hours after surgery and/or if you are taking opioids. Once in awhile after surgery, patients struggle with Dumping Syndrome. Dumping Syndrome can make your stomach upset by causing cramping, cold sweats, dizziness and liquid stool.
The foods to avoid are breakfast cereals with hard dry pieces of fruit or nuts e.g. muesli, bread, muffins, crumpets, bagels, pizza, potato chips, corn chips, raw vegetables, large fruit pips (kiwifruit pips okay) fruit skins, nuts, seeds, popcorn, cooked fibrous vegetables e.g. cabbage, celery, sweetcorn, beans, tough ...
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.
Burping after Nissen fundoplication is not common either. Patients may have small burps results from small amount of air trapped above the wrap. However, “big burps” after Nissen fundoplication may indicate wrap failure. Gastroparesis is not common at all following Nissen fundoplication performed by expert hands.
Watery Diarrhea Symptoms, Causes & Common Questions. Watery diarrhea is commonly caused by a viral infection or food poisoning from eating undercooked meat or rotten foods. It can be serious if it causes dehydration. Keep an eye out for blood in the stool, and be sure to drink water and fluids with electrolytes.
The most common causes of a loose poop are things like viruses, food allergies and medication side effects. Some chronic conditions can, too: Crohn's disease. Ulcerative colitis.