Nissen Fundoplication

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New Member

Date Joined Nov 2009
Total Posts : 2
   Posted 11/13/2009 9:40 AM (GMT -6)   
I am new to this site. In 2005 I had a Nissen Fundoplication operation to cure GERD. Within 3 weeks of the procedure in the Caribbean I was having severe retching attacks where I would dry vomit or heave with nothing coming up. So bad that I had to be air medivaced to a hospital in New York who after 48 hours of constantly retching managed to stop me retching. Since then for the following 3 years I have had retching attacks which could last for 5 minutes or 5 hours. I returned to my home in England and visiting specialists in England. I visited the Unted States 7 times to see various specialists, one in Phoenix informed me that he had a patient who had the same condition for 6 years and there was no cure. I also visited specialists in Venezula and Panama but nobody could give me any answers to my problem. Finally I visited a specialist in London and while I was having tests with him I was out shopping with my wife in Manchester when I collapsed. When In came around in hospital they informed me that I had had a epileptic seizure. The tests on this new problem all came back negative but it gave my GERD specialist an idea. He sent me to have a test of swallowing radioactive potatoes which showed that the food   went  through my stomach  in 11 minutes. This confirmed his suspicion that in the Nissen operation the surgeon had either cut or damaged my Vagus nerve causing me to pass out through a thing called dumping syndrome. He then gave me a course of Amitriptyline which one of its side effects is to slow the passage of food through the stomach. I had a follow up radioactive test and the food took twice as long to pass through the stomach and since staying on the medication I have for the past 18 months have had no retching or passing out attacks. While I was suffering with the retching I also had the feeling of feeling light headed and also from time to time my hands would tremble and other various strange things and pains but all have disappeared. Hope this will have been of some help for anyone suffering the same symtons. The Vagus Nerve controls alot of things including emotions

Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 11/13/2009 4:30 PM (GMT -6)   
Interesting.... I've never heard of this before.

Health problems: sleep apnea, hypothyroidism, GERD, glaucoma, OA, environmental, food, and drug allergies, asthma, high cholesterol, pre-diabetic
Medications:Nexium 2X a day, 300mg Zantac, K-Dur, Lasix 2X a day, Zyrtec, Zocor, Lumigan, fish oil, B12, Substex, calcium + D, Advair, Albuteral, nebulizer
I don't suffer from insanity, I enjoy every minute of it!

Elite Member

Date Joined Apr 2007
Total Posts : 32602
   Posted 11/13/2009 7:12 PM (GMT -6)   
Vasovagal episode or vasovagal response or vasovagal attack (also called neurocardiogenic syncope) is a malaise mediated by the vagus nerve. When it leads to syncope or "fainting", it is called a vasovagal syncope, which is the most common type of fainting.
There are a number of different syncope syndromes which all fall under the umbrella of vasovagal syncope. The common element among these conditions is the central mechanism leading to loss of consciousness. The differences among them are in the factors that trigger this mechanism. A typical trigger of vasovagal response is nausea or vomiting.

I have seen many people have a vasovagal episode but never heard of the treatment or use of Amtriptyline as a cure. But there are a lot of things I have not heard of :)

I have read of Amitriptyline as a probable caused the vasovagal episodes in some people with cardiac disease.

Interesting information and thank you so much for sharing with us.

I wish you peace,


Forum Moderator

Date Joined Feb 2009
Total Posts : 7188
   Posted 11/13/2009 8:58 PM (GMT -6)   
Thanks for sharing your experience and your solution. I had the surgery in February 2009, and fortunately have not had any such problems.
I hope you continue to do well.
Take care,
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