Stretching the LES after Nissen Fundoplication

Here's a subject I've never seen addressed.  I had my Nissen Fundoplication in 2008, and I continue to have the same problems I had prior to surgery.  I don't believe my wrap was made tight enough. 

However, I have read postings where people feel their Nissen Wraps were made too tight, and they have the wrap stretched to accomodate swallowing.  If the fundus wrap of the stomach is only held in place by three sutures, how does the physician not pop these sutures when performing the stretching procedure?  If vomiting can pop these sutures, why wouldn't a stretching procedure do the same thing?

Just curious, for I don't need any stretching of my LES.  Last endoscopy showed my Nissen to be "fairly loose."  I think that would be an understatement. 

opnwhl4:
You said you have had 15 plus of the balloon dialotor procedures and now you can't have anymore. How long did they work for when you had the stretching? I had a fundoplication 11 years ago (when I was 10) and they did the wrap too tight. 15 months later they had to operate again to redo the wrap because nothing would go down. Now i am 21, according to the doctors, because I have grown since I was 11, it has become tighter and tighter again. So much food gets stuck, and it happens pretty much every meal. They don't seem to think the balloon procedure will work for me, but do you know what other options there are? Surgery again....?
Sorry, I'm just after some opinions etc from people who have the same problems.
Thanks,
Bec

Bec-
Sorry I've been offline a while. I had most of those dilations done in an 8 month stretch until they did exploratory surgery and found my first Nissen was done incorrectly. No amount of dilations would work, only a redo. So I had a redo on 5/18/09. Did have it dilated in Feb. 2011 and it perforated on a follow up scope after the dilation.

Bill

hi there,
i am from south africa and had a nissen done in 2003. everything went well so except the painful gas bloats but now i have difficulty in swallowing. i visited a gastroenterologist and he ordered a barium swallow which showed a massivly dilated esophagus with a narrowed junction between the esophagus and stomach. Now he advises a Baloon dilatation to correct this. will this work? will it not damage my good nissen repair.

Robin

I had a Nissan funds wrap eight months ago by a thoracic specialist. I have been progressing slowly and am eating soft food such as yogurt, soup and smoothies. I have had periods where food gets stuck in my chest. I have had periods of nausea and take Zofran on occassiom. I recently took Zantac and found nexium 24hour to be effective for heartburn. I made an appointment with my surgeon last week and he wants to look at the wrap through a endoscopy this Wednesday. I am wondering since the topic of this thread mentioned dilation, I might need that. I know my surgeon tried his very best and not everyone recovers the same, this I have seen from previous posts. I would think a dilation would be better than a redo. I am staying positive. Thanks for all who posted it has been a great support to me. Sister Wrapper.🎆