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,