Here's a subject I've never seen addressed. I had my Nissen Fundoplication in 2008, and I continue to have the same problems I had prior to surgery. I don't believe my wrap was made tight enough.
However, I have read postings where people feel their Nissen Wraps were made too tight, and they have the wrap stretched to accomodate swallowing. If the fundus wrap of the stomach is only held in place by three sutures, how does the physician not pop these sutures when performing the stretching procedure? If vomiting can pop these sutures, why wouldn't a stretching procedure do the same thing?
Just curious, for I don't need any stretching of my LES. Last endoscopy showed my Nissen to be "fairly loose." I think that would be an understatement.