6 Postoperative Problems & Complications After Laparoscopic Fundoplication

Postoperative problems can include a delay in intestinal functioning causing bloating, gagging, and vomiting. They usually resolve in a few weeks. A 2003 study suggested, however, that 38% of patients develop such symptoms, and most occur more than year after the procedures. If symptoms persist or if they start weeks or months after surgery, particularly if vomiting is present, then surgical complications are likely. Complications include the following :

Acid Reflux Disease

1. An Excessively Wrapped Fundus

This is fairly common and can cause difficulty swallowing (dysphagia) or experience gagging, gas, bloating, or inability to burp. (A follow-up procedure that dilates the esophagus using an inflated balloon may help correct dysphagia, although not other symptoms.)

2. Bowel Obstruction

3. Wound Infection

4. Injury To Nearby Organs

5. Respiratory Complications

Such as a collapsed lung. These are uncommon, particularly with laparoscopic fundoplication.

6. Muscle Spasms After Swallowing Food

This can cause intense pain and patients may require a liquid diet, sometimes for weeks. This is a rare complication in most patients, but can be very high in children with neurologic abnormalities. Such children are, unfortunately, at very high risk for GERD in the first place.