Nissan Fundoplication surgery

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Chris64
New Member


Date Joined May 2006
Total Posts : 3
   Posted 5/8/2006 10:54 AM (GMT -7)   
Newbie here,
 
I had my surgery last Thursday, came home on Friday.  I had a full wrap.  Dr. said 25% of my stomach was in my chest cavity.
 
 
On Thursday I was eating the liquid diet...popsicle, jello, water,  on Friday they had me eating scrambled eggs, jello, and juice.
everything was fine,over the weekend I was having milkshakes eggs and ice cream,and pudding.
 
 Today is now Monday and I'm eating little bits of chicken, fish, mashed potatoes with no problems what so ever.  I have had no pain, havent taken any pain medication, since leaving the hospital, just alot of gas and bloating, and I am burping, but absolutley no heartburn, which is great!   I feel so much better since the operation! :-)

bittersweet603
Regular Member


Date Joined May 2006
Total Posts : 93
   Posted 5/9/2006 7:56 AM (GMT -7)   
congrats on such a good outcome! I wish I heard more good outcomes from that surgery, especially the burping part. I am still waiting to see if I need surgery done after all these tests. I am curious though..how well did you tolerate the diagnostic testing before surgery, like the esophagul mobility test with the tube down your nose? I couldnt do it myself..blah

Chris64
New Member


Date Joined May 2006
Total Posts : 3
   Posted 5/9/2006 9:11 AM (GMT -7)   
I couldn't stand those tests, will never do them again!   The one test where I had the tube in for 24 hours was a piece of cake, the one where they move the tube up and down while you swallow water was the worst test I have ever done, I was in tears with that one, but it had to be done and the outcome from surgery made it worth it in the long run. 

Raising teenagers is like nailing Jello to a tree.


The Artful
New Member


Date Joined Apr 2006
Total Posts : 9
   Posted 5/9/2006 6:01 PM (GMT -7)   

Hi guys,

I'd like a bit of info from both of you, if you have the time.

I am a GERD neophyte, and have all my symptoms under control at this point, but the next step (if I have a relapse) is diagnostic testing. I have had the blood tests and basic tests, but if my reflux comes back I want to hit it where it hurts.

Chris, you said your stomach was entering your chest cavity. Is this hiatal hernia? If so, do you know what tests are good to identify this? Barium swallow?

And why is the manometry test so painful? This is the one test that I really want done because it explicitly reveals whether the LES is the main problem. But you two are scaring me!

Any info you can provide will be appreciated,

ABCD


Chris64
New Member


Date Joined May 2006
Total Posts : 3
   Posted 5/9/2006 6:19 PM (GMT -7)   

I surely did not mean to scare you at all, I'm sorry.

 

Yes a hiatal hernia is when parts of your stomach enter the chest cavity, these are two of the tests I had done....

 

  • Barium X-ray. During this diagnostic test, you'll drink a chalky liquid containing barium that coats your upper digestive tract. This provides a clear silhouette of your esophagus, stomach and the upper part of your small intestine (duodenum) on an X-ray. A barium X-ray may help reveal whether the contents of your stomach are backing up into your esophagus.
  • Endoscopy. In this test your doctor passes a thin, flexible tube equipped with a fiber-optic light and video camera system (endoscope) down your throat and into your esophagus and stomach to check for inflammation. This not only can help detect a hiatal hernia, but also is the most sensitive way to check for damage to your esophagus from acid reflux.
  • The manometry test is very uncomfortable, they had me lying down, then they inserted the thin tube through my nose and down my throat, but as they raise and lower this tube several times you are sipping water through a straw....the uncomfortable part is getting the tube past your gag reflex.

    This test took about 30-45 minutes.

    Agian, I'm sorry for making you nervous, but this is 1 test I don't want to repeat.

    If you have any other questions, I'll be happy to answer them.


    Raising teenagers is like nailing Jello to a tree.


    wallock
    New Member


    Date Joined May 2006
    Total Posts : 4
       Posted 5/10/2006 11:26 AM (GMT -7)   
    The manometry was the worst thing I have ever done in my life - 10x worse than the surgery. I got a bloody nose during the procedure....

    I get chills just thinking about it. I never had a barium xray for the procedure, but I've had one since. It wouldn't taste bad if you only needed a spoonful, but a whole bottle! Ughhh (literally, like drinking chalk).

    Everyone I've talked to who had the surgery tends to get a little worried after a while (a few weeks) when they still can't swallow food. It goes away, don't worry! Expect to have occasional problems here and there for a few months. I had it two years ago and maybe once every 4 months I'll have a little problem.

    Good Luck!

    Matt

    Sassy Girl
    New Member


    Date Joined May 2006
    Total Posts : 2
       Posted 5/11/2006 7:23 AM (GMT -7)   
    My first ever, anywhere forum comment!!
     
    I had an open, full Nissan wrap Dec. 2003.  In Feb 2005 it "slipped".  I have now had 3 motility test, 3 PH studies, 4 endoscopy procedures.  Being considered for repair.  Found out it "slipped" because I got an aspiration pneumonia in Feb, 2005, on a Vent for 3 weeks.  Mega doses of sterioids left me with diabetes, graves disease and just found out I have Avascular Necrosis of the Femur/hip.  So now need a hip replacement.
     
    I am a nurse but my recommendations come from first hand experience and what helped me.  During any procedure that tubes are placed down nose or throat the biggest thing to remember is to breathe really deep, and slow!  In nose (one side is still open), and out mouth.  Also ask nurse or tech to soak the tube in ice water immedicately prior to procedure.  Makes insertion much easier.
     
     

    Joemamma
    New Member


    Date Joined May 2006
    Total Posts : 1
       Posted 5/15/2006 7:08 PM (GMT -7)   
    I had my nissen about two and half weeks ago and I feel pretty good. To be honest I found the endoscopies interesting. The manomatry wsa pretty uncomfortable though. I had two endoscopies done and they both said I was a canidate for the surgery. I have had heart burn literlay all my life, i can remember being in gradeschool, I am thirthy now, and having heart burn. So far the hardest thing for me has been the diet. I feel very restricted by it, but I have lost almost twenty pounds. You really have to eat slow and chew well. At this stage for me there is still alot of swelling and if I dont chew well I get very uncofrtable when i eat. I have absolutly no heartburn whatsover and so far no food has come back up, or liquid. The first few days were the most painful but within in the first week most of the pain was gone and I was up taking waks down the street.
    You have to weigh the risks and get as informed as possible, it dosnt work for everybody.

    funeral6703
    New Member


    Date Joined Jan 2007
    Total Posts : 3
       Posted 1/20/2007 5:17 PM (GMT -7)   
    I am a 40 yr. old who is seriously contemplating the Lap Nissan Fundo.  I am going to go the laprascopic route and am wondering how long I can expect to be 1. laid up in bed. 2. Unable to work, light duty included and 3. on a scale of 1-10, how bad pain wise was the post op recovery.  I already did all the testing, including the upper endoscopy and it confirmed that by stomach is sticking through my diaphragm into my thoracic cavity.  The hernia is pretty good size and the doc said because I lost 40 lbs. in about 7 weeks that I need to have it done soon.  Your help will be appreciated....Kurt

    scottsdale
    New Member


    Date Joined Jan 2007
    Total Posts : 1
       Posted 1/20/2007 11:28 PM (GMT -7)   
    Hi Kurt,
    I had the surgery this past February. I'm a 37 yr. old.

    1. I was in the hospital for 2 days, on a liquid diet for 2 weeks & taking it slow that first week. I lost 12 lbs in that first 2 weeks....doctor didn't want me to lose anymore cuz of my weight. I've maybe gained about 6 lbs back but I'm happy with my weight.

    2. Back to work in a little over a week but light duty/half days for a few days. Seriously take it easy & don't lift heavy.

    3. I did have some shoulder pain while I was in the hospital...the surgery caused a partial pneumothorax but nothing major...it resolved itself on its own. The small incision on my left side of my stomach was more painful than the others. Swallowing was the most uncomfortable aspect of the surgery for the first 4 or 5 days.

    I'm happy that I haven't had to take any medicine and haven't had any reflux. The biggest problem I have now is excess gas...flatulation. Me being a single female in the dating world...it's embarrassing...makes me not want to go out on dates at night cuz that's when it's the worst. I guess it doesn't help that I drink diet coke (carbonation) and a beer now & then.

    Good luck Kurt!

    Hey, if anyone knows what to do about the flatulation issue, PLEASE, PLEASE let me know!!!!!!

    funeral6703
    New Member


    Date Joined Jan 2007
    Total Posts : 3
       Posted 1/21/2007 5:05 AM (GMT -7)   
    Thanks for the info.  Have you tried Gas-X, or Beano or any of the anti gas over the counter meds that are offered.....just a thought.  Again, thank you and that makes me feel a bit more confident in my decision to have the surgery.  Kurt

    sillylilly
    Regular Member


    Date Joined Oct 2006
    Total Posts : 317
       Posted 1/21/2007 2:35 PM (GMT -7)   
    Sometimes I think that I may have this surgery someday but I'm scared about it slipping eventually. What do docs say about that...can it be repaired if it slips. A friend of mine had it and her doc told her it was a permanent fix but I've heard so many people say it stopped working because it slipped. Also, is a person able to do any exercise or lift weights with this surgery....it seems that maybe all a person could do is walk for exercise.

    jafupser
    New Member


    Date Joined Aug 2007
    Total Posts : 1
       Posted 8/5/2007 4:48 PM (GMT -7)   
    I had the surgery 7 years ago. I was 32 yrs old at the time. It has been a complete success. When I had the tube in for the 24hr test, I had over 700 episodes of acid reflux throughout the night. The doctor who performed the surgery went a little tight when he wrapped my stomach around my esophogus, it took 2 months for me to get back on solid food, but as I said, it's been worth it. I no longer get heartburn. The biggest thing is to try to stay away from carbonated drinks. They will make you feel bloated and could in time stretch your esophogus and put you back in the same position you were in before.

    friendlygal
    Veteran Member


    Date Joined Dec 2006
    Total Posts : 722
       Posted 8/8/2007 8:34 AM (GMT -7)   

    funeral6703, did the doctor say that losing 40 pounds was the reason why you got the GERD??  Because I lost so much weight and I think that that's why I have such severe GERD.  But they don't want to give me surgery since I burp all the time from this GERD and they think that this would make me miserable after the surgery (being unable to burp)...

    I'm wondering if I should have a second opinion because I am not working and the manometry and PH testing showed that I have such an awful case of GERD.  So I'm not sure why they don't want to give me the surgery if people here are writing that they CAN burp after the surgery!

     


    sillylilly
    Regular Member


    Date Joined Oct 2006
    Total Posts : 317
       Posted 8/11/2007 1:50 PM (GMT -7)   
    Concerning the fundo surgery...are any of you who have had the surgery experiencing more constipation because your insides are basically twisted.  What do the docs say about the motility of your gut if you have the surgery.

    Another Day
    Veteran Member


    Date Joined Mar 2007
    Total Posts : 1055
       Posted 8/11/2007 8:58 PM (GMT -7)   

    Sillylilly, I had the surgery done in 2005 and I have had no problems with constipation at all.  I did have an extreme amount of trouble with diarrhea for about six weeks after the surgery.  We are all different in the way we recover.

    Carla

     


    Epilepsy, severe adult onset asthma, allergies, GERD, depression, hypothyroidism


    friendlygal
    Veteran Member


    Date Joined Dec 2006
    Total Posts : 722
       Posted 8/12/2007 8:08 AM (GMT -7)   

    anotherday, how is it that they determined that you need the surgery??  I have reflux that is so terrible that my teeth are even having major problems from it.  They say that mine is the worst ever. Yet they say that I am not a candidate for surgery since I burp so much.

    sillylilly, did they say that you could have the surgery??


    Margdell
    New Member


    Date Joined Jul 2007
    Total Posts : 11
       Posted 8/17/2007 6:07 PM (GMT -7)   
    Are any of you who have had the fundo surgery runners? I have been a runner all my life and it is my outlet -- my way of meditating. Now, the GERD is so severe that I cannot run because it causes me to reflux. I am getting depressed and am in constant pain. I was just told that I have Barrett's but that because I don't have a hiatal hernia, I am not a candidate for surgery. Is that true in your experience? Are people like me who have failed conventional drug therapy after 10 years of GERD supposed to just roll over and wait until the constant reflux turns Barrett's into cancer? I am frustrated and would like to know if surgery is an option for me, in spite of the the GI doc's claim that I am not a candidate. If you have surgery can you lead a normal life afterwards, e.g., resume running and sports? What is the rate of fundo failure?

    Another Day
    Veteran Member


    Date Joined Mar 2007
    Total Posts : 1055
       Posted 8/19/2007 10:20 PM (GMT -7)   
    I had the lap Nissen in 2005.  I can do everything that I did before, which for me isn't much because I have severe asthma.  I lost a good friend a couple of years ago to esophageal cancer.  He started out with Barrett's.  If I were you, I would run, not walk for a second opinion.  I did have a hiatal hernia, but it was a small one.  The main reason I had my surgery was because my physicians thought the reflux was triggering some of my asthma attacks.  It did help a little with the asthma attacks and with the reflux.  I do still take Nexium, but at least now I don't feel as if I have a sewer backing up in my throat. 
     
    I know it's not a surgery they take lightly.  Have you had the ph probe yet?  What tests have they done?  I can't imagine that having this surgery would prevent you from running after some recovery time.  With you already having Barrett's, I would push for the surgery.
     
    Carla

    Epilepsy, severe adult onset asthma, allergies, GERD, depression, hypothyroidism


    clairejg
    New Member


    Date Joined Sep 2007
    Total Posts : 2
       Posted 9/25/2007 2:51 PM (GMT -7)   
    I am due to have the lap nissan on Oct 11th and I cannot wait!
    Have had GERD for 9 years now and finnally got the go ahead toady for the surgery!!
    I got scared when a consultant said that you should not be on PPI meds for more than 2 years as they do not know what risks are involves for being on them for that long!
    So here I am waiting...and willign for oct 11th...no more meds...no more reflux!!

    Claire.....all the way from thew UK!!

    Mr.T
    Regular Member


    Date Joined Sep 2007
    Total Posts : 133
       Posted 9/30/2007 11:45 PM (GMT -7)   
    I had the surgery in Bangkok February of this year and feel great. I have been living in Thailand for a few years and whenthis problem would not go away I was glad that there were competent doctors here to do the open Fundoplication. I did not really have the option for laproscopic, but it turned out well. I do hav alot of gas and sometimes have problems swallowing, but it was all worth it. I have not had any problems with heart burn at all. It's amazing how it really does make a big difference in your life. It took me about 2 months to burp and that was a party in itself. Now life is pretty much normal. Yes sometimes things get stuck if I eat too quickly and yes I have alot of gas, but anyone that has had a successful surgery knows this is a small price to pay. I have a new zipper and a better life because of this. It is normal to be scared and everybody deals with it differently. You must make a choice and the best way to do that is get the most information as possible and talk to others. It helped me make my descision and I hope that if you are considering this then you will contact someone here to give you their personal stories and experiences with this surgery. Good luck to anyone dealing with this and for me. Thank God the heart burn and pain is gone.

    dchern
    New Member


    Date Joined Jan 2008
    Total Posts : 1
       Posted 1/18/2008 11:03 PM (GMT -7)   
    I had a nissan fundiplication 4 weeks ago.  I am losing weight because I am unable to eat as much.  Also, I am burping a lot and have found myself taking nexium.  Does anyone know why these things are happening?  My doc was happy with my post-op.

    TammyGrl0528
    Veteran Member


    Date Joined Jun 2007
    Total Posts : 1345
       Posted 1/21/2008 2:23 PM (GMT -7)   
    dchem, first, I'd like to welcome you to healingwell.  Then, I'd like to encourage you to go to our posts about the Nissan Fundo.  There are 3 really good threads on it.  I am going to inclue the link to the 3rd one, which includes the previous two links.  Please read up on that, and you will get so much information.
     
    I encourage you to stick with us, as there is so much to learn here.  Please, stick around, share your recovery stories, and learn from others as well. 
     
    Here is the link...
     
     
    If you click on that link, you will be taken to the 3rd thread.  The first topic in there is from me, and it provides links to both the 1st and 2nd threads.
     
    Hope it helps you!
     GERD Forum Moderator
        Please share, only if you can spare! 
     Diagnosed with Generalized Anxiety Disorder (GAD) and Panic Attacks.
     Clickable Link that may be of interest to some...as I find I often like to check drug interactions...Drug Interactions
     
    ~Tammy~


    porcelain doll
    Regular Member


    Date Joined Mar 2007
    Total Posts : 128
       Posted 1/21/2008 9:03 PM (GMT -7)   
    Dchern:  Sometimes the chest pain we feel after surgery can mimick/feel like acid reflux.  I still have chest pain and as first I thought I had reflux but now I know it is just chest pain and part of the recovery process.  As far as burping goes, you are lucky you are able to burp as some of us are not.  I can burp but very tiny burps and only when I drink something.  The old days of "letting them rip" are over.  Weight loss is very common and part of the process and at 4 weeks post-op I felt really crappy and weak due to lack of nourishment. Just remember to try and eat even if you have to drink ensure, and eat scrambled eggs, oatmeal, cream of wheat.  You will have to experiment and find what foods will work for you.  Good luck with your recovery...Barbara.... 

    mpr
    New Member


    Date Joined Aug 2008
    Total Posts : 2
       Posted 8/17/2008 6:45 PM (GMT -7)   
    Hi!  I'm a new member scheduled for surgery on Tuesday.  I would like to hear from anyone with information about how well the vocal chords and esophagus heal after the surgery or if additional meds are needed for that. mpr
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