I hope your husband is doing well. I was diagnosed with a hiatal hernia and Barretts Esophagus in 2001. I was given nexium which worked for a few years. In 2003, I had a nissan fundiplication to fix the hiatel hernia. After surgery I didn't have reflux and my Dr took me off the nexium. I continued having yearly endoscopies with no worsening Barretts. In late 2007 I developed a cough, my family Dr performed many tests trying to find the cause. In March of 2008, I had another endoscopy which showed an increase in the Barretts. My surgeon told me to come back in a year for a repeat endoscopy. I didn't have any burning reflux symptoms. I mentioned this to my family Dr who suggested I get a second opinion. I had silent reflux. The second opinion resulted in being sent to a Dr at UPMC who specializes in Barretts. In October 2008, I had an esophagectomy and roux-n-y. A portion of my esophagus was removed and reattached to my intestines. I no longer have a stomach. The surgery/recovery wasn't pleasent. I spent 3 days in ICU and another 4 days in a regular room. I had a gastro tube and jp for 6 weeks. I am 7 months out and feel great. My cough is gone, I haven't had a sinus infection since surgery, prior to surgery I had one every few months.