question for Bill

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leniijane
Regular Member


Date Joined Dec 2010
Total Posts : 42
   Posted 10/4/2011 7:59 AM (GMT -6)   
Why did you need 3 nissans?? I am getting ready for my second. I wonder if you have a theory why they failed? Did you eat wrong, lift? Or what???

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/4/2011 8:48 AM (GMT -6)   
Well that's a good story I never tire of telling. LOL!

I had my first done by a local surgeon who had removed my gallbladder about a year before. Had all the tests done and he said he could do it. I neglected to ask some valuable questions like how many have you done yourself and how many were successful? I had issues right away and were put off as just a tight wrap. had it dilated by my surgeon twice during the first 4 months with no relief. So I figured it was normal, but had to put something on everything I ate, like salad dressing or something to help it go through. This was done June of '06.

Fast fwd to Sept. '08....Couldn't stand eating this way anymore and was gaining weight because of it. went to my GI doc and he dilated it about 8 times between Sept/ '08 and Dec. '08. They were baffled. I had an appointment with a different surgeon who had done my lung surgery in Dec. '07. He recommended me go to Loyola and see a surgeon there who specializes in swallowing disorders and nissen redos. From Jan. '09 until April '09 they tried to figure it out. Had 4 more dilations up there and several barium swallows. finally the surgeon so "something" on the test and decided he would do an exploratory surgery to see what was wrong. He found out it was done incorrectly and nothing except a redo would fix it. He actually told me in recovery he was glad we kept on him about it because there was no way dilations would help since it was done wrong.

Okay, fast fwd again to Feb. '11.... Had a follow up EGD die to barretts, get one every year to keep an eye on it. During the EGD my GI doc tore my esophagus. This is extremely painful by the way. Was sent to Iowa City university hospital and had surgery to repair it on 3/1/11. 4 days after surgery they checked to see if it was still leaking. It was, so they had to put a atent in my esophagus that went through the LES into my stomach. It stayed there for a month dilating my wrap and moving around every time I swallowed. I finally was thought to be good to go in May.

Started to have problems again in June and local hospital and surgeon who had done my lung surgery did a ct scan and saw the hole in my esophagus was opened up again, It wasn't leaking into my chest because the outer patch was holding. But still the hole being open was very painful and a very high risk for infections. Finally after being sent home from Iowa City and then being sent to another large hospital a few days later, the hole did finally heal. Just had to without anything by mouth for 2 weeks. They also found out my wrap was ruined and my LES was wide open again. I had to wait 4 to 6 weeks though before the wrap could be repair again.

So The surgeon who did my lung surgery did my redo because we knew for sure what was wrong, but it had to be done open this time because of all the scar tissue and my stomach was attached to my belly because of the feeding tube I had during the esophagus repair.

There are some very interesting things I skipped because they aren't relevant, but I have had some very interesting bumps in the road since May 18th of '09.

What is your cause for a redo?

Take care,
Bill

ps. my first redo was perfect by the way. Once it was done correctly all was well. I even went through a few bouts of dry heaves and do lift a lot of heavy things without any issues.
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

Post Edited (opnwhl4) : 10/4/2011 8:51:37 AM (GMT-6)


leniijane
Regular Member


Date Joined Dec 2010
Total Posts : 42
   Posted 10/4/2011 1:21 PM (GMT -6)   
I have no idea what happened to mine. Wish I would have kept a diary. I think it was alright for awhile(couple of months). and then, I vomited a few times(probably eating things I shouldn't have). I wasn't put on any kind of diet. Just told to eat as tolerated...Well, what does that mean?? Maybe it was too loose, who knows..I am now belching up food alot. Had another barium and the stomach is going back into the chest. It was all the way up there before.

Just wondered if you thought eating had alot to do with your problems. Or was it just the surgery done wrong.

You sure have been through hell. Sorry for that. Hope it is o.k. this time.

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/4/2011 1:43 PM (GMT -6)   
leniijane-

My first was just done wrong. Instead of wrapping the fundus around like a hotdog bun he started to wrap it but didn't release enough fundus from the spleen and ended up grabbing the lower anterior part of my stomach and connecting the 2. This also made my stomach turn to almost 90 degrees from my esophagus and when swallowing it would relax just enough to sometimes force food through it.

Then the second was just a casualty of what had to be done to repair my esophagus. They weren't worried about preserving the nissen. Especially since they were almost certain they were going to have to remove it. I was scheduled twice for an esophajectomy and they changed there minds. Once it was 2 hours before surgery and I was a half hour from going to have an epidural put in before surgery. I also had to do a colon cleaned out that time the night before because they weren't sure my stomach would be viable to use as an esophagus and had planned to use some of my colon instead if need be.

Thank you for your support. I am really hoping this is my last surgery ever.

Take care,

Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11
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