Heartburn and chestpain

Sounds like an Esophagus spasm.
Gall bladder attacks are at the lower left rib side. They radiate around to the back sometimes.

Joy

Joe my wrap is doing fine. Before surgery my symptoms were severe coughing, loss of voice, constantly clearing mucus from the throat, and lots of nasal infections.

The constant coughing what's beginning to drive me nuts. I decided to bite the bullet and have the surgery even though my G.I. thought it wasn't so bad. The reason why was I would control my coughing when I was in his office.

I wanted to have the EsophyX, but my surgeon said it was too dangerous for me. My hiatal hernia was too large.

I was very scared of the Nissen fundoplication. I told him I did not want to do it, I had heard so many bad things about it. He told me that the Hill procedure would be ideal for me. He was correct.

Joy

i would not recomend the Esophyx because it is still experimental and the results so far are not that good.
if i could do it all over again i had both the Esophyx and nissen i would choose right away for the nissen.

if the Hill repair was availabel in my country than that would be my first choise without a doubt.

explore your options and choose for the golden standard and find the best surgeon there is availabel.

There are several surgeries available. The ones posted are just the ones that readers have had done lately. If you do a search you will find more.

I had the Toupet fundoplication. It's like the Nissen in that the fundus is used to wrap around the esophagus, but it's like the Hill in that it's a partial wrap, usually 270 degrees.

You should not decide on a particular type of surgery, or whether you need surgery at all, by yourself. The decision should be made by the surgeon based on the results of tests and what he sees when he actually gets a look at the situation.

My surgeon did my operation based on my very large paraesophageal hernia (stomach stuck in the chest due to a vehicle wreck), and also my completely open LES, and my weak swallowing reflex. It was the right operation for me and 4 months out I am able to eat (except gas producing vegetables) and even burp a little.

Before you decide on surgery try everything else. Surgery is a last resort! If you don't have a fixed hernia or a really bad LES, you can probably do fine with just medication. I lived just fine on meds for 25 years even with a small sliding hiatal hernia. Surgery is not fun and there are some eating limitations that can continue for years. Many patients also need to keep on taking acid reducers after surgery.

The nissen was not worse than the Esophyx for me,only when i had the nissen 7 months after the esophyx my gallblader was removed also and i think that added some more pain.
recovering from both surgerys was the same.

The Hill repair is also a golden standard but only a few surgeons perform this surgery,but it is much easier to recover from than from a nissen.
it also seems that the Hill Repair is lasting longer than a nissen fundoplication.
my friend had the Hill Repair done by Dr.Ralph Aye in Seattle and she`s reflux free ever sinds.
my friend and i both had Lpr symptomps and gastritis.

i can imagine Joe that you would give anything for this to stop,but like Alcie stated surgery is the last resort if nothing else works.
tests are very important to see if a surtane type of surgery is suited for you.

before i had surgery i was very sick Joe,undernuriched,underweight and in pain all day.
i did all the test that showed acid reflux, a small hiatial hernia and a weak LES.
they offerd me a nissen fundoplication in the first place but there was a long waiting list,so when someone dropped out for the Esophyx they offerd it to me and i went for it.
after the esophyx my situation got worse,the reflux episodes where longer and my gallblader was badly inflamed.
7 months later a nissen fundoplication and a gallblader removal was performed and my quality of life improved drasticly.
i still had some reflux but living with minor pain was acceptabel to me....for the first time in years i felt great.
i was off ppi`s for 18 months.
it only lasted 18 months,the nissen slipped or got loose and my symptomps are back now.
now i found out why the nissen never worked properly for me,the nissen was done on top of the esophyx.
before the nissen was performed they should have taken down the Esophyx to get a normal anatomy of the stomach again before the reconstruction.
i did lots of research before i had surgery and i was properly informed but do to the lack of data on the esophyx and a nissen after the esophyx this could happen to me.
now i am facing another surgery,first take down the two previous surgery`s and a redo of the nissen fundoplication....
i can only hope for the best....

you are right Joy,the Hill repair is done by high skilled surgeons because it`s difficult to learn the techniek,only a few surgeons know how to perform it.
the Hill repair is lasting longer (a lifetime) because it can not slip.