Well that's an interesting story, kinda long too. Here goes.....
I had my first nissen 6/6/06. After about
3 years of dysphagis and about
15 dilations with no help I was referred to Loyola Medical Center in Chicago. I had all the same initial tests and the finally found an abnormality on the 4th barium swallow, but they weren't sure what was causing it. After my wife and I insisting on having something done my surgeon decided to do an exploratory surgery. So on 5/18/09 I had my first redo. While in pre-op he asked me what I wanted him to do if they didn't see anything wrong or if they did find something wrong. Since he is a very experienced surgeon on nissen redos I opted for him to do what he would want done if it was him on the table. After waking up he said he was very glad we kept after him to do the surgery because it was done incorrectly and was at a 90 degree angle at rest. No wonder food was getting stuck. Since it was done wrong it took aalmost 6 hours to redo it and I found out he brought in a lot of surgeons in training to see what not to do. I didn't ask enough questions of my first surgeon. I just asked if he could do it and he said sure. Since he had removed my gallbladder a year earlier I figured he could do it with no problem....WRONG.
Anyway, had some complications from the tough time they had undoing the original nissen. But after 3 weeks or so I was good to go. Everything was perfect for almost 2 years. Then I had a follow up EGD to check the Barretts and my esophagus was torn by the scope. That was 2/28/11. I was sent to University of Iowa hospital and had surgery to repair the tear. When I had a barium swallow to see if it held we found out it was still leaking. They put in an esophageal stent, used to
open the esophagus when there is cancer there. When they rechecked it, it still leaked. The barium was following the stent back up to the hole and coming out. The decision was made to remove my esophagus, but just before surgery they decided to advance the stent through my LES into the stomach. This time noting followed the stent up and out. They tried feeding me with a regular NG feeding tube, but when my stomach filled it followed the stent up and the food came out my chest tube. Back to square one. Another surgery to remove my esophagus was scheduled and 2 hours before surgery they changed their mind again and decided to put in a feeding tube through my belly and into my small intestine. This worked great. After 1.5 months with the stent in place the hole finally closed up.
In June the hole
opened back up and I spent a week at Iowa City and 2 weeks at Peoria. It was then found out my LES was wide
open and during a barium swallow the barium actually bounced back up into my esophagus.So after waiting 6 weeks for things to heal more I had my 2nd redo done
open this time. On 8/24/11I had my 2nd redo. It had to be done
open so they could take down the scar tissue to ensure a tension free wrap. After surgery my surgeon told me the wrap was completely torn apart. This was from the esophageal stent being through my wrap. Bad thing is I asked if it would damage my wrap and the surgeon at Iowa City told me "no". I couldn't see how a sprung
open tube wouldn't do damage, so I was expecting it to be damaged.
open surgery was my easiest recovery of all 3 Nissens. Seems strange, but it's true. all is basically going very well. I can eat about
anything I want. No heartburn so far. Do still have some sternum pain from them torquing up in my rib cage so he could get his hands in there, but it's getting better every day.
Ps. My new GI doc told me I should write a novel on all my issues and experiences the last 5 years. Or at least write a blog on it. I told him I was a moderator on this site and he told me he was happy there is a site for support and was happy I am so involved with it.
Oh, he also was at Iowa City while I was there. He just finished his training there this June and knows all the doctors I had there very well. Kind of strange to have a doc who was there the whole time I was there.
Nissen 6/06 and 5/09
#3 on 8/24/11
Post Edited (opnwhl4) : 12/30/2011 9:38:26 PM (GMT-7)