Who to believe

10cm is huge. I feel for you, I had 4cm and it turned my life upside down and I can imagine how you must have been holding up. I would advise to get a second opinion from a teaching hospital surgeon as the only solution could be surgery. Also take a second opinion on PPI dosage as 20 x2 PPI is a low dosage for Barrets.
You should be able to get benefit from suspensions containing alginic compounds after every meal like gaviscon.

Do consult with another surgeon... 10cm is indication for prompt surgery. they might use a bio mesh to repair harnia to prevent stomach from going up again. If I were you, I would ask my gastro to prescribe 40mg PPI twice a day with a prokinetic agent to empty stomach quickly like metoclopramide, levosulpiride, itopride etc since I used the same for about 2 years before undergoing surgery. Walking before bedtime helps, see if walking a mile or so before going to bed may help with your night reflux.

Thanks fa83 and Sharon. Yes second opinion from gastro doc (a medic) or surgeon. I have Barium on Thursday 22nd. requested by my surgeon. I will wait until that result and maybe a motility test and then get his assessment. then I can use the results for second opinion. Good plan ??
I don't think I will see gasto again as he will say keep taking the pills.
Regards Johnboyo.

Hi all,
Have had more tests
The first consultant said had slight motability issue but not significant.
Had the interview with the second consultant - whom I saw ten years ago who said stay on PPi. as opn to invasive HH was only 2cm then. At this consult I believe he was trying to steer me to stay on ppi again but he could see that I was not happy to be on ppi with the side effects I was having. He seemed to think that I was reading the possible side effects from the ppi information leaflet and some of the effects were maybe caused by other issues.
Also went onto all the negatives of opn re dysphasia, wrap may come undone etc.
Results of opn gives about 85% to 90% success.
I believe he may have testing my resolve to fix my HH.
He then said that it was really about quality of life and the opn would improve that.
I wanted the Lynx but both surgeons said HH too large and also not happy putting foreign item in.
Had pre op done and scheduled opn due 24th April.
I am still concerned re opn as one only seems to read mainly negative reviews. Is that due in part to the fact that people with problems tend to look for help.
Regards all. Johnboyo

I am not much aware of Barrets but its limited to esophagus and not stomach. Gastric lining in stomach secrets acid and not esophagus. You need to stop your reflux and fundoplocation is the only solution. I did study lynx for my surgery but will not advise for it, I believe one should opt for a procedure which is time tested and people have been living healthy life after fundoplication with great outcomes. It took me about good 7 to 8 months to feel normal again after my surgery. Surgery is tough and recovery is tougher. Best wishes for your surgery.

I had the fundo done robotically. They asked me about not being able to belch or vomit, and it really doesn't bother me. I didn't feel much better until 6 months post-surgery and about 1 year until I felt like the new me. Everyone's recover is different. I do keep Zofran in case I am naseous. For Barrets, only a small percentage of people develop cancer. They are doing radiofrequency ablation for Barretts that are pretty successful. I can now eat and drink most things in moderation, but I don't belch and it only has one way to exit - flatulence. Is there a teaching hospital near you? My surgeon specialized in Bariatics and does tons of fundos.

Sharon