request for referral to doc/fundo surgeon, along with hiatal hernia question

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Date Joined Oct 2007
Total Posts : 36
   Posted 1/25/2008 5:16 AM (GMT -6)   
I have been having increasing problems with gerd, especially at night time.  Now it is so bad that even on my 11 inch incline with ppi, the burn is nasty like nothing I've ever felt before, and I clearly can not tolerate this for long.
I have felt as though I would rather die than entertain the idea of a fundo - the outcome seems like such a crapshoot as far as the side effects and whatnot that everyone always mentions.
That said, I'm obviously in deep trouble at this point and I feel I need to act quickly in talking with a surgeon.  Does anyone have a recommendation?  If so, please email me - I've made my email available on my profile.  I'm on the west coast in Seattle.  I can fly wherever I need to.
Also, I was told I have a small hiatal hernia, but I am wondering now if it is possibly bigger and therefore causing this problem to worsen.  In reading on the internet about hernia repair, it seems that pulling the stomach down and stitching up the hole a bit in the diaphragm is one aspect to hernia repair operation, while the wraparound fundoplication part is another aspect, which is optional.  I am wondering what criteria is used to determine whether to do the fundo part versus just pull the stomach down and stitch up the hole in the diaphragm.
Any info, please email me quickly.

Regular Member

Date Joined Jan 2008
Total Posts : 45
   Posted 1/25/2008 1:38 PM (GMT -6)   
Mark, I just had my surgery here in Portland. My surgeon and his team were excellent. He is renown in gastro laproscopic surgery, and is innovating new proceedures.

Dr. Lee Swanstrom of the Oregon Clinic in Portland

Regular Member

Date Joined Jan 2008
Total Posts : 45
   Posted 1/25/2008 1:42 PM (GMT -6)   
Also, from my understanding, minor reflux due to the hernia can irritate the lower esophegeal sphincter, weakening it, causing even worse reflux.
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