PPIs are not effective

Alk301

You may want to seek out a second opinion re surgery.  If you are not receiving any relief from PPIs, dietary changes etc then 85 % is still good odds to help you with your GERD.

I am sure you will hear from other members that have more experience with the Nissen procedure.

Kindly,

Kitt

 

Alk301-

I didn't respond well to PPIs after a couple years and was recommended to have the nissen. Best decision I have made. In this area they recommend the surgery if the tests show you are a good candidate and don't respond well to the PPIs.

Take care,
Bill

Depending on the tests pre-surgery you should get an idea from the dr. I am not a good candidate for surgery based on my tests...I may have functional heartburn or hypersensitive esophagus and am starting a medication to treat that once thanksgiving passes. If PPI's aren't working it might be non-acid reflux, refractory acid reflux, functional heartburn, hypersensitive esophagus, or a number of things. IMHO jumping at surgery isn't the best idea...I used to want to, but have since learned that it might not be worth it, it might not solve what you are feeling, and what you are feeling may not even be related to acid. Just my two cents...be sure to be informed before you go ahead with surgery! And do the right tests (PH test, Motility, maybe others).

Hey Alk,

I would document EVERYTHING - what you eat, when you eat it, how you feel, what lifestyle changes you've had, and over what kind of period of time, and then go to your doctor and lay it out - you're not getting better. If your doctor tells you it's something you just have to deal with, seek a second opinion. Your doctor probably wouldn't accept that as an answer, why should you?

I really hope you get some relief soon!
Ashley

I like yourself have had no relief from ppi's, I've been through the whole lot and h2 blockers and they just took the edge off. I also had the unfortunate side effect of weight gain which just made it a million times worse. So, I decided to come off ppi's completely and try a more natural approach. I have been off ppi's for a week, and I'm feeling much better. Hardly any problems at all. I know this may not be ideal for everyone, but for me It's working great. What I take now is slippery elm tea twice daily morning and night, DGL chewable tablets 20 mins before food, digestive enzymes and non acidic Ester C with meals, apple cider vinegar once or twice daily, and aloe juice daily. As I said not for everyone, but I'm going really well and considering 2 weeks ago I was thinking about surgery, that's now the last thing on my mind.

Loz

Alk301 said...
I have been suffering from GERD for about 7 years now, and during that time I've tried about 5 PPIs. I have never had any relief from them. I've now had a consultation for Nissen, and the surgeon said that in some people who have no response to PPIs, the surgery is less successful - from a 95% success rate down to 85%.


Considering I have no other way of getting relief, I am leaning toward getting the surgery. I was just wondering if anyone else here encountered this problem, and what they decided to do about it? I have moderate GERD that is progressing to severe, so the surgeon says I will probably need Nissen eventually anyway, and I'd rather get it sooner than later. I'm just a little concerned about the surgery potentially being less successful for me.



Thank you!