What are the indications for Nissen surgery

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.

Soliver-

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

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

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.

Hi Soliver,

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.