What are the indications for Nissen surgery

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Regular Member

Date Joined Jan 2010
Total Posts : 140
   Posted 2/8/2012 5:10 AM (GMT -6)   
Dencha Bill Kit ..please I need a links for indications to Nissen surgery,also post Nissen indications and during the follow up until 2 months post op.I appreciate your Help.thank you.

Veteran Member

Date Joined Dec 2008
Total Posts : 4961
   Posted 2/8/2012 8:04 AM (GMT -6)   

I'll have to do some searching for a direct linked site, but I can give you some things now.

First off before going with the surgery I believe a PH study and manometry would be the very minimum tests. I had those plus barium swallow and an EGD. I was also asked by my 2nd surgeon which I would rather live with, heartburn or the possibility of foods getting hung up.
As for symptoms that surgery may help I would list regurgitation, not wanting to take PPIs for life, and for me it was a combo of not wanting to take PPIs forever and they were not working anymore.

As for after wards: 2 months can go either way. Some are doing great by then and others take a cople more months or so to get back to a "normal" diet. Now I was basically symptom free right away after surgery. I don't believe that is the norm though.

Take care,
Bill devil
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

Regular Member

Date Joined Jan 2010
Total Posts : 140
   Posted 2/9/2012 3:02 PM (GMT -6)   
Bill thank you for ur answer...and i Hope got an answer from Dencha wich i am sure has some links to indicate to me.

Forum Moderator

Date Joined Feb 2009
Total Posts : 7188
   Posted 2/9/2012 10:18 PM (GMT -6)   
Hi Soliver,
I found these three site that discuss indications for Nissen surgery.  Hope they help!

Veteran Member

Date Joined Sep 2011
Total Posts : 620
   Posted 2/10/2012 7:46 AM (GMT -6)   
Hi Soliver, I saw your post and decided to give some input. My case is a little different than most people.....I didn't have "typical heartburn." I had LPR I believe which is which acid or other enzymes come up past both your LES and UES. You would to the typical test such as an EGD, PH Test, and Manometry Test to see if you are a candidate. Even if your GI says you are not a candidate and you are still suffering regardless of taking PPIs, I would seek a second opinion from another GI and even seek out a surgeon on your own based on others recommendations to see what he or her take is on your situation.

I listened only to my GI, I wouldn't have pursued surgery and would still be surffering badly. I hope you find a resolution, good luck.

Elite Member

Date Joined Apr 2007
Total Posts : 32602
   Posted 2/10/2012 12:43 PM (GMT -6)   
Hi Soliver,
Sorry I am late getting here to reply to your post.  Actually, I just completed a 2 hour  education class on GERD yesterday.  Let's see what I can remember as well as checking my notes.
First of all here is a site you may find helpful:
Indications for the procedure are variable.  Individuals whose symptoms are not controlled with PPIs are candidates for the surgery.  Those who have Barrett's esophagus should be considered for surgery.  Individuals who do not want long-term medication treatment or would not comply with treatment may be considered for surgery.  Those with atypical manifestations can be considered for surgery including respiratory symptoms, hoarseness, sore throat, or dental erosions.  Those at risk for oseteporosis should also be considered for surgery as long-term treatment with PPIs is associated with an increased risk of hip fracture in people over 50.  PPIs also increase the risk of gastrointestinal problems that include  gastroenteritis and Clostridium difficile colitis.
Hope this helps answer your questions.
Gentle Hugs,


Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.


"only as high as I reach can I grow, only as far as I seek can I go, only as deep as I look can I see, only as much as I dream can I be"
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