NISSEN FUNDIPLICATION 1 YEAR POST OP

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aggiemom05
New Member


Date Joined Mar 2011
Total Posts : 3
   Posted 3/21/2011 1:49 PM (GMT -6)   
 I am one year post op from a 360 wrap.  For the past six months I have had non-stop 24-7 pain in the area that appears to be right under the wrap.  I am about to undergo another sugery to modify the wrap to a half wrap
in the hope that will relieve the pressure on my esophagus.  I am just curious if anyone has had this same experience.  I was diagnosed with a "nutcracker esophagus" before my wrap, but my reflux was so severe
that the wrap was the only option.

miketx
Regular Member


Date Joined Feb 2011
Total Posts : 46
   Posted 3/21/2011 4:22 PM (GMT -6)   
I'm sorry to hear that -- even for an aggie. ;) Best wishes for the upcoming surgery.

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 3/21/2011 6:09 PM (GMT -6)   
Welcome to HealingWell.  Glad to have you on board.  Pain 24/7,  I cannot relate to that but I am so sorry you are going through this.
 
I know you will be hearing from other members of the forum so stick with us and always feel comfortable venting, sharing or whatever meets your needs.
 
Kindly,
Kitt
 
 
 
 
~~Kitt~~
Moderator: Anxiety/Panic, Osteoarthritis, GERD/Heartburn and Heart/Cardiovascular Disease.
www.healingwell.com

"If you can't change the world, change your world"

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5005
   Posted 3/21/2011 7:07 PM (GMT -6)   
Have you had tests to show what is going on? The easiest test that would identify nutcracker is barium swallow. 
it would also show if there's any reflux or if you can't swallow past the wrap.  If the wrap is too tight, why didn't they suggest dilation?  Or maybe they did it already??  Dilation would be a lot less invasive!
 
I've got pain 24/7 too, right under the middle of the sternum.   (wrapped nearly 1 1/2 years) Mine is from the wrap getting ripped apart from brief vomiting a few months ago.  Part of my stomach is again above the diaphragm.   I've got the 270 wrap (Toupet) because I have a weak swallow and wouldn't be able to push food past the full Nissen.

aggiemom05
New Member


Date Joined Mar 2011
Total Posts : 3
   Posted 3/22/2011 3:13 PM (GMT -6)   
  I have already had the barium swallow and the "monograpy" (sp) before the surgery that confirmed the nutcracker esophagus.  I went ahead with
the wrap because I was having severe chronic bronchitis and my vocal chords were damaged from the reflux acid.  The doctors were more
concerned with me developing throat cancer from the constant irritation
and they felt that the esophogeal spasm could be controlled with meds.
It has not responded to any meds and really does not act or feel like
a spasm because I do not have any difficulty eating for the most part.  Things "hang up" ocassionally but I eat pretty normally.  I am having
an endoscopy next Monday just to look at my esophagus and I am scheduled for another "monograpy" which is a swallowing test,  to see just how much pressure is under the wrap.  This is all pre-op testing.
The only thing that gives me relief from the pain is Vicodin.  My surgeon
says that is a sure sign of irritation from somewhere in the wrap area
and not esophageal spasm.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 3/22/2011 7:06 PM (GMT -6)   
Hi Aggie,
Sorry to hear you're having pain! It seems that your body is trying to tell you something. I'm coming into this conversation late, but I'm glad to hear that you're getting some testing. It's not something to leave to chance.

Good luck! I hope there's a simple explanation and that you feel better soon!
Denise

aggiemom05
New Member


Date Joined Mar 2011
Total Posts : 3
   Posted 3/22/2011 8:19 PM (GMT -6)   
Thank you, I hope also that it is something simple and I get to keep my wrap to some extent. There has been a huge improvement in my reflux. I have none and am taking no meds for reflux.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5005
   Posted 3/22/2011 8:45 PM (GMT -6)   
Aggie -
Have you had a barium swallow? That is the best test, better than endoscopy IMHO, for showing reflux, what happens during swallowing. I can't imagine they need to take down the wrap! Since you can swallow past the wrap it is not too tight. You shouldn't need dilation either, as that is just for when you can't swallow past wrap.
Barium swallow will also show if the stomach has herniated up into the chest - which gives you chest pain sub-sternum. Endoscopy doesn't show herniation very well, especially after fundo. Been there, had all that!

Manometry is great for giving the docs numbers so they know how tight they can make the wrap. But you had that done pre-op already.
Alcie
 
 

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 3/23/2011 4:53 PM (GMT -6)   
Aggie,
If you're not getting reflux, it's likely that your wrap is intact. If that was the problem, you'd be feeling it with increased reflux.
Best wishes!
Denise
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