What are the indications for Nissen surgery

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

Hi Soliver,

I found these three site that discuss indications for Nissen surgery.  Hope they help!

Denise

http://www.ctsnet.org/sections/clinicalresources/thoracic/expert_tech-2.html

http://www.medscape.com/viewarticle/414044

http://www.lapsurg.org/reflux.html

 

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:

http://www.ctsnet.org/sections/clinicalresources/thoracic/expert_tech-2.html

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,

Kitt

    

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~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.
www.healingwell.com

"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"