Laporoscopic Fundoplication

What is it?

Tightening of the Lower Oesophageal Sphincter (LOS)

Wraps fundus of stomach around oesophagus

Symptoms resolve in ~90% of pts

Nutritional Goals

Ensure a nutritionally adequate diet post op

Assist to minimise residual symptoms

Transition to normal diet post op

Nutritional Strategies

Post-op diet transition varies w surgeon

Often free fluids for 2 weeks

Pureed/mashed diet for 2 wks

Soft diet for 2 weeks then progress to full diet as tolerated

Eat/drink food slowly

Nourishing fluids on fluid stage

Avoid 'burp' food/drinks (soft drink, gum)

Chew food well and avoid foods hard to break down when on soft diet

Sit upright for 60 mins after meal

Who for?

Those with chronic GORD