Considering Nissan Fundiplication

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Advocategal
New Member


Date Joined Mar 2010
Total Posts : 3
   Posted 5/24/2010 11:12 PM (GMT -6)   
Hello,
I got diagnosed with Acid reflux about 11 years ago and nexium made a big difference. Two years ago I was hospitalized for pneumonia and have had a wheeze that never leaves me. I have chronic lung and sinus infections. My doctor suspects that it is something called LPR which is when acid  and bile actually comes up from the stomach into the esophagus and gets into lungs making them sensitive. After a year of tests and specialist, the Nissan Wrap was suggested. I have wheezing that never goes away even with alot of steroids. Has anyone had the wrap for respitory issues? Would love some feed back on this procedure in general. Has is helped?  Lannie

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 5/24/2010 11:43 PM (GMT -6)   
Advocategal-
First, welcome to the family. There are several members who have had the Nissen because of breathing and cough issues. I am sure they will be along shortly.
As for general feed back on the Nissen....Personally I have had it done twice 3 years apart. My first didn't fail, but was done wrong. I have had GERD for about 21 years or so. I had been on 3 or 4 different PPIs and the last one wasn't working anymore, so my GI recommended surgery. The surgery itself took about 2 hours and I stayed 2 nights in the hospital. Some stay less and some longer depending on the surgeon and how the patient is doing. The diet after surgery varies greatly by surgeon. Both of mine had me on liquids the next day and then on soft foods the 3rd day on and I was to add solid foods I normally ate as I felt I could.
Both of mine were done Lap. and I had 5 small scars from it. I had an NG tube the first time for the first night, but not the second time. Depending on the type of work you do you will most likely be off 2 to 8 weeks. That is up to your surgeon and how well you are doing. Both of my surgeons said not to lift anything over 5 pounds for 6 weeks.
A lot of people tend to get a feeling of reflux for a few weeks after surgery because of swelling. Usually this goes away. Also remember to chew your food very very well. To a liquid as Denise says. Please feel free to ask any questions you have and if you wish you may email me too. My email is listed on my profile.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 5/25/2010 12:27 PM (GMT -6)   
I had a partial wrap due to a constant asthma cough.

It stopped my coughing within a week.

Joy

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 5/30/2010 9:15 PM (GMT -6)   
Hi Advocategal,
Yes, I had severe lung infections due for the most part to GERD. My reflux was not what the GI doc felt was severe enough to warrant surgery, but my family doctor and allergy doctor were both certain that the reflux was creating my very unhealthy lungs.

I was constantly coughing up gunk, and was wheezing and miserable. I was on steroids that didn't even touch the lung inflammation. Both my family doc and allergist basically told me they couldn't do anything more for me. I got really sick of being constantly sick. I coughed and coughed constantly. I also have allergies, and that worked with the reflux to destroy my lung health.

I was worried about the surgery--I'd researched it online, and knew it was not a "slam dunk" procedure. I knew that the results varied widely, and that some had terrible results. I also knew that it might not work to solve my asthma problems. Fortunately, I found this forum, where I was able to talk to others who'd had the surgery, and discovered that all the negativity found other places on the web wasn't the attitude of members here. This site was a lifesaver for me.

My family doc finally sent me to a surgeon, who did some tests and said I was a good candidate for the surgery (he trusted my doctor's opinion, and was willing to go ahead with it). My doctor was very concerned about my health, and thought that it was a serious, life-threatening situation. My asthma/allergy doc concurred.

I went back to my GI doc with the additional testing results, and he did another 24 hr PH monitor. My results weren't all that high--14. He finally came to the conclusion that my doctors might be right. He sent me to a surgeon to discuss the possibility of going forward with the surgery.

I decided I really didn't have a choice--that I needed to try to the surgery and see if it would help me. I couldn't go on with such unhealthy lungs.

I had the surgery in February 2009. I had a lung infection before, during, and after the surgery. I coughed my guts out for two months after the surgery. I was also on steroids before during and after, which created some problems for the surgery. My internal tissue was very fragile as the result. The surgeon added extra stitches in hopes that it would hold the repair. Honestly, you wouldn't believe how much I was coughing. I was really worried that I would ruin my wrap/hernia repair.

At about two and a half months after surgery, my lungs started turning around--even during peak allergy season. The surgery did the trick. My lungs have been wonderful. I just wish I'd had the surgery done a lot earlier--before the heavy steroid usage created other issues (my skin has thinned, and I bruise easily--my skin also tears easily.) If I'd had surgery sooner, I could have avoided those years of misery and all those steroids.

I hope you find the answer to your problems.
I'll be very happy to answer any other questions you might have about the surgery.
It was definitely the right decision for me.
Take care and best wishes!
Denise

Rent a wreck
Regular Member


Date Joined May 2010
Total Posts : 43
   Posted 5/31/2010 9:46 AM (GMT -6)   
I had my nissan fundoplication 2 1/2 weeks ago. Mostly due to the fact that I had already developed Barrett's esophagus from the reflux, but also because I have asthma and allergies. For the first time after a surgery (have had 6 within the last 5 years for all different reasons), I did not have any breathing issues from the anesthesia and no nausea either. So this surgery can make a huge difference in your asthma symptoms. The other thing i have noticed is that since stopping taking protonix, my arthritis is better too. Still only taking clear to full liquids as my wrap is still pretty tight, but feeling well except for occassional neck pain. Don't overdo and no heavy lifting, that includes the laundry basket.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5028
   Posted 5/31/2010 6:10 PM (GMT -6)   
just check your surgeon's credentials. H e needs to have been trained in a really good center, have done hundreds, if not thousands of procedures, and have a great record for results and very little infection or re-do's.

My surgeon is a thoracic surgeon.
Alcie
 
 


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 6/2/2010 6:19 AM (GMT -6)   
Alcie's right...your surgeon's skill (in this specific procedure) is the most important piece of this puzzle. Be sure to do your research and find the best, most experienced surgeon to do the surgery if you choose to go forward with the surgery.
Best wishes!
Denise
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