Choice of fundoplication

Hi I’m due for op April was all set up for having an anterior wrap done as motility is 40% good 30% poor and 30% none with surgeon as he does the Dor anterior 180 80% of the time because he says he’s very happy with the results he gets and it has similar results and the risk of dysphagia isn’t worth it,
I saw another surgeon today a woman who had become a consultant in last year or so she said she’d done about 50 ops and she said she would do a floppy nissen and if any swallowing problems a dilation then maybe a 270 toupet if needed. This has really thrown me as the research I’ve done tally’s with what she says but this I’ve read is a skilled op that needs experience, Help!! Heads shot on making a decision, to throw in the research I’ve done in some cases has the toupet and 180 anterior similar in reflux control. so I need to decide to go with the more experience but chance of reflux returning but less side effects or the less experience, more chance of control but higher chance of issues post op. Any advice would be very appreciated thanks.

I can’t really I’m in uk you get who you are given as far as surgeons go, I was lucky to see 2 different surgeons, in a way wish I had just seen the one now as it’s confused me.

TIF (transoral incisionless fundoplication) is usually an outpatient procedure and is easily reversible if necessary. It generally doesn't worsen swallowing or lead to the inability to burp or vomit like nissen fundoplication can. If it isn't successful or doesn't last, it can be undone and followed by nissen or other fundoplication.

PPI's weren't fully effective for me, so I now take Takecab (vonoprazan), which is in a different drug class and it actually works. It is a Japanese drug. I also take Gaviscon Advance just before bed as an extra precaution. This is a higher strength formula available OTC in the UK.

Post Edited (Mike Z) : 2/17/2020 4:00:37 PM (GMT-7)