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Posted 3/19/2014 1:05 PM (GMT 0)

Hi there,

Just stumbled across this rescource after looking for some further information about post op NF diet.

I'm a 33 (when did that happen) lady living in the UK. I had a gastric band in 2006 and have lost a total of 9 stone in that time. A success I think.

I suffered with hideous heartburn whilst obese. All down to the crap I was pumping into my body, no doubt about it.

I started to experience night reflux about 3 years ago. Horrible as it was, I largely ignored it. I had my band loosened and started taking a PPI. Problem solved.

It started getting worse around 18 months ago. Upped my PPI and took shares out in Rennies, and largely ignored it. Around June of last year it started to effect my sleep. I would wake up covered in whatever I had eaten (I learnt that 5pm was my cut off time for eating) that evening. The frightening thing for me was that I wasn't waking up!

So fast forward to now.

I had an endo which revealed a hiatus hernia. I had the 24hr pH study. Acid levels and duration were off the scale and I have absolutely no reading on the motility test. (liquids and bolus).

I am due to go into have the NF next Wednesday. I have read a lot in the past few months and know that it will improve my quality of life.

Just wanted to know if there were any other folk out there that have had the NF after a weight loss surgery?

Another question, I can't find these reasoning anywhere, but why are we supposed to avoid caffeine?

I'm sure I will have other questions along the way too.

Thanks

Posted 3/19/2014 2:41 PM (GMT 0)
Welcome to the forum.

The band makes me nervous. Are they going to remove it during the Nissen? They are going to take a good bit of the stomach to do the wrap, thereby making it considerably smaller. If it were me, I'd ask to have the band taken out.

I presume the doc is going to repair the hernia. He may also have to "let down" the esophagus so there is enough of it below the diaphragm to do the wrap.

Sorry, I don't know why they hate caffeine. It seems they always want you off it for most surgeries and they never give anyone caffeinated beverages in the hospital ... or nursing homes. I've had hubby bring a little in for me in some places. But go with the instructions. You can have it again a few weeks after the surgery.

You definitely need a talk with your doctor, or at least his nurse! It's not really much to ask for a few minutes to clear up your concerns.
Posted 3/19/2014 3:34 PM (GMT 0)
I don't understand "no reading" on motility test...."if" you have motility problems a nissen may cause things to become worse.
Posted 3/19/2014 4:49 PM (GMT 0)
Alcie,
Many thanks for your warm welcome.
Apologies, I should have said, the plan is to remove my band, repair the hernia and do a partial wrap.

@DOGGBONES
I have no swallow function. I think this is a symptom of having an over tight band. I have suffered with it for a while. I guess it cannot get any worse...
Surgeon has recommended a partial wrap. 280 I think he said
Posted 3/19/2014 5:02 PM (GMT 0)
littleraver,

smhair  whoooaaaa, please get advise from a couple of the wrap vets here (Bill, Denise).

I believe if you have no motility a nissen will make all your problems alot worse. If what I believe is true, please switch doctors for your own good as well.

Posted 3/20/2014 1:49 AM (GMT 0)
LittleRaver

Does the surgeon expect any function to return with the removal of the band?

Could it be a 180 degree? A 270 wrap may be fine, but with such low swallowing 180 might be a better choice.
I guess it would all depend on how tight the band is now since the nissen should be tension free it should have less resistance than the band I guess. Not really sure how the band really works though.

Sorry things have gotten so bad for you after the other surgery. Please stick around and let us know how things go. And ask any questions you have.

Take care,
Bill
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