How did you make sure your Nissen surgeon was good?

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theacidrefluxman
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Date Joined Oct 2009
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   Posted 9/19/2011 2:34 PM (GMT -6)   
When I call the office here at Duke, they won't tell me which surgeon is the most experienced. I guess I could set up appointments a few surgeons and ask them directly how many Nissen's they have done, but that seems a bit stupid. There must be an easier way. I know if I go to Cleveland Clinic and see the guy there, that he is good. But if I stay here in NC and want to do it, how can I differentiate among all these surgeons?

Granted they must all be at a minimal level b/c they are at a great university hospital, but how can I find out which is the best?

Ryobe
Regular Member


Date Joined Aug 2011
Total Posts : 36
   Posted 9/19/2011 4:55 PM (GMT -6)   
Wow, I didn't know they wouldn't give you that information.  I guess I would just make an appointment with one of them and ask who has the most experience.  I know my surgeon has been trained to use the robot also but it wasn't available the day I had surgery.   I went with who most of the transplant patients I know used.

theacidrefluxman
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Date Joined Oct 2009
Total Posts : 739
   Posted 9/19/2011 7:23 PM (GMT -6)   
Thanks again for your comments Ryobe. Yeah...they would just tell me "all of our surgeons have done many, many Nissens". I looked at the dr. bio's and I think I'll just have to assume older = more experience. I really don't know. I'll ask the surgeon I set an appt. up with when I go.

dencha
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Date Joined Feb 2009
Total Posts : 7188
   Posted 9/19/2011 8:42 PM (GMT -6)   
Hi ARM,
I would think Ryobe's doc would be good.  Anyone entrusted by the lung transplant team to do Nissens for their patients would have to be top-notch.  Those transplants are gold, and they wouldn't be sending their patients to someone who might not do the best job.  That's just my opinion, for what it's worth!
 
I just asked my GI doc who he would recommend, and I asked the surgeon how many he'd done and how many of his wraps he'd had to redo.  I also asked an anesthetist his opinion as well.
 
Good luck!
Denise

dencha
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Date Joined Feb 2009
Total Posts : 7188
   Posted 9/19/2011 8:44 PM (GMT -6)   
PS
Plus, it's Duke University Hospital!  To a certain degree, I think you're right...older=more experience.  If they're all great surgeons, more experience puts some above the rest for this surgery.  Good luck in your search.
Denise
tongue  

starryblu
New Member


Date Joined Sep 2011
Total Posts : 9
   Posted 9/19/2011 9:09 PM (GMT -6)   
Hey, I"m an NCer getting ready for surgery myself....

maybe I'm not so smart, but I just took the word of my gastro doctor, and am going with the surgeon he sent me to. My surgery will be in Greensboro, and I don't think there is a lot of choices in surgeons that do this type of surgery. I hope I won't regret being better informed.

theacidrefluxman
Veteran Member


Date Joined Oct 2009
Total Posts : 739
   Posted 9/19/2011 9:44 PM (GMT -6)   
Thanks Denise. I really appreciate all of your comments across my posts, and I have been posting too much lately ; / I think your point on Ryobe's Dr. is a great one, so I'll look into that and see if I can see him...

@ starryblu - good luck. I don't know about greensborough, but if I were you I'd try to get into Duke Univ. Medical Hospital. I may be wrong, but I would think the best doctors in this area would be working there. I know Greensborough isn't that far, especially if its for a surgery. It isn't a complicated surgery I don't think, though, so regardless I imagine the odds are generally very good regardless.

opnwhl4
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Date Joined Dec 2008
Total Posts : 4961
   Posted 9/20/2011 2:53 AM (GMT -6)   
ARM-
If you know any nurses they may have some good info as who is good at this surgery. also Your last sentence bothered me a bit. Please don't take this surgery lightly. It doesn't seem to be a complicated surgery, but in reality it takes a lot of practice to get it right. There are a lot of things that if not done correctly will give you worse troubles. I know from personal experience, I went to a surgeon who did my gallbladder thinking it was a simply surgery and he said he could do it. Unfortunately he did it incorrectly and I spent 3 years trying to get it diagnosed as to what was wrong.
I would make an appointment and ask the surgeon about his experience and how many he has done successfully. Also whether he/she does a loose wrap or uses a boujie to size the wrap. Whether they go through your belly or go the chest route. One of the biggest issues is if they take down enough stomach from the spleen to make sure there isn't any tension on the wrap. This was one of the problems with my first along with using the lower anterior part of my stomach for the wrap instead of just the fundus.
If you don't get a warm fuzzy feeling about the surgeon I would check with another one. also at teaching hospitals sometimes the residents do the surgery while the attending watches. I ask that the attending do mine and he said he had already planned on doing it himself because I was such a difficult case for my redo. When I had my esophagus repaired I found out one of his residents did the surgery and the attending just observed the whole time.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 soon I hope
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