Am I reading correctly M60 that you had your first Nissen four years ago and now another one? Wow so it didnt last long enuf to work and you had a second one? So sorry to hear this....maybe you should look into the Stretta, radio frequency waves, just a suggestion here....
I wrote all about
my experience in the the thread 'Its been brutal' in this GERD category.....Im 17 days out and still suffering....hope we both feel better soon