recurring reflux

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Worker Bee
Regular Member

Date Joined Aug 2011
Total Posts : 21
   Posted 2/20/2012 9:52 AM (GMT -6)   
Hi everyone,
I had a Nissen fund in October 2010.  My pre-op symptoms were heartburn (controlled with strong daily PPIs) and laryngeal reflux that affected my voice (helped but not controlled by PPIs, as the less acidic stomach contents were still aggravating.  Post op my throat improved but I still felt like I had heartburn, which I put down to the the healing process or even the wrap structure itself creating a feeling of tightness.  Anyway, at 4 months I did some physical activity that I felt compromised the wrap, though I had 24hr PH testing and a barium x-ray which were both normal ie wrap intact and no reflux.  However, I continued to experience symptoms which actually got worse, so I changed my gastro doctor and eventually had a new set of 24hr tests done, as I felt like I was losing my mind with proper reflux symtoms but my previous doctor telling me all was ok.  These latest results showed the reflux had returned, I think to a similar extent to post op.  I am in the "mild to moderate" range with a reflux episode experienced 25% of the time, though I get vocal cord papillomas that need to be removed under general, which are made worse by the reflux, so mild to moderate LPR for me is proportionately worse than for others.
I am due for a barium swallow soon and then a follow up with my surgeon.  I do wonder whether the wrap was too loose in the first place, as I didn't have even the slightest sensation of swallowing difficulty or food sticking after the op.  However, I have had reflux symptoms ever since the op which I wonder now were perhaps not just the healing process but some residual reflux.
I am feeling pretty gutted about the prospect of perhaps a second operation as the recovery is so challenging (though at least I am prepared this time round) and I worry that a redo will be more prone to failure.  I am also not sure whether to use the same surgeon, as I can't help but associate the failure with him, even though I am told he is very experienced.  There are apparently various ways/techniques of performing this operation.  When I switched to the new gastro doctor, she commented on how my barium swallow post op showed more staples than she was used to seeing and that the wrap was situated differently (different position).  I had always assumed there was a standard way of performing this operation, so my mind starts wondering whether my anatomy might work better with a different surgical technique.
Any positive information/experience on fundo redos would be greatly appreciated.
Thanks to you all,

Forum Moderator

Date Joined Apr 2007
Total Posts : 32602
   Posted 2/20/2012 10:57 AM (GMT -6)   
We have several members who have had redos and one of them is our Moderator, Bill.  I am sure you will be hearing from members that have experience to share.
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"

Forum Moderator

Date Joined Dec 2008
Total Posts : 4961
   Posted 2/20/2012 8:44 PM (GMT -6)   

Yep I've had 2 redos. Would have only needed one if my esophagus wouldn't have torn during an EGD. My 1st redo was right about the 2 year mark and doing great. My last redo was Aug 24th, '11 and everything is great. This last one was done open and was my easiest to recover from.
If you need a redo find a surgeon who has done many of these successfully. My 1st redo was done at a teaching hospital and my last was done by my local surgeon.
If mine tore apart tomorrow I would have it redone again.

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