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NISSAN FUNDOPLICATION vs OTHER PROCEEDURES FOR GERD

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GERD & Acid Reflux
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Posted 3/3/2010 9:15 PM (GMT 0)
I am F, 58 years old, about 40 lbs overweight and have had GERD for at least 20 years.

My GERD symptoms include: heartburn, sore throat, cough, that thick feeling in the back of the throat that you can't seem to clear, acid when I bend over, episodes of those mini-thow up yummies in your mouth, some asthma like symptoms, and for the last year, nasal and sinus congestion.

My surgeon wants me to have lap. full Nissan Fundoplication. He assures me that it is very effective and has a 95+% success rate. He wants me back in 3 months for another endoscopy.

I am trying to be an informed patient. I am going to try to lose some weight. Need that no matter what I decide to do for the Gerd. I have had several endoscopy's that validate acide reflux. I am pre-Barrett's and have a small hiatal hernia that has, at times, caused me substantial pain.

I have good control on Omeprazole. But, do I take a PPI forever?!

I wonder about the long term control of the fundoplication. Does it actually last for the rest of your life? Does it come un-done and need repairs? Can it be repaired or redone?

I don't like the idea of not being able to throw up. What about excess gas, if you are not able to burp?

I have actually watched an online surgery. I think I have pretty carefully looked at the pro's and con's but would like to actually email or chat with some of you who have had this or other proceedures.

 Thanks. Minnesota Grandma

Edit: Minnesota Grandma, post your email in your profile so it does not get picked up by spammers or search engines.  The forums can be read by anyone, only members can post in the forums so you never know who may read your post.

Thanks,

Kitt

 

Post Edited By Moderator (stkitt) : 3/3/2010 5:24:49 PM (GMT-7)

Posted 3/3/2010 9:55 PM (GMT 0)
Welcome Minnesota Grandma,
We don't normally post our emails for all visitors to see. It can be placed in your contact info page so only members can see it.

I had one of the alternatives to the full Nissen. It's called The Hill Procedure. It's only a 270 degree wrap. It's a more complication operation but it holds better in the long run. It's like you take your pants leg and wrap it around your ankle. I can burp, swallow very easily, and have come close to throwing up.

Joy
Posted 3/10/2010 8:24 PM (GMT 0)
i had lap nissen done last april. i can throw up and swallow just fine and burp. the trouble i have is now i have massive explosive dirreaha all the time every day. when i eat it gets even worse and i have terrible stomach pain. i would go back if i could and even though i was pre berrets also i would just stay on meds. i dont know where u are but just make sure u really check out all risks and pros. i do enjoy not refluxing.
Posted 3/10/2010 8:38 PM (GMT 0)
Hi Pleasehelpme,

It sounds like you're having stomach dumping, which can be a side effect of the surgery.  I assume you've been back to your GI doc to try to get to the bottom of the problem.  What did he/she say about it?

I have had some bouts of dumping throughout my first year of recovery (I had my surgery in February 2009), but it's been streaky, and not all the time.  I haven't had an episode in months.  It seems to me that when I have had it happen it was when I'd irritated my wrap or stomach in some way.  I could always tell when it was going to happpen, because my stomach would become extremely loud and grumbly.  A dead give-away that a dumping episode was on its way.

In my case it hasn't been a big deal, and very managable.  It is worrying, though when it starts to happen, and the fear is that something may be wrong. 

I'm sorry to hear that you are having these problems.  I wish you all the best and hope you get the problem resolved.  Have you considered a second opinion?

Good luck!

Denise

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