Almost 3 weeks in post-Nissen - Strongly suspecting a failed wrap. How soon can you get a revision?

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Marcello
Regular Member


Date Joined Feb 2012
Total Posts : 75
   Posted 2/29/2012 12:38 AM (GMT -6)   
Hi all,

I'm at day 18 and still getting volume reflux/LPR, preventing any sort of quality sleep (despite last eating at 4pm and going to bed at 1am).

I'll not beat about the bush.

Surgically, I'm 'healing' well, managing more foods (that it seems I have to take only in the morning and lunch), little pain, walking around freely etc. But in terms of what we wanted the op to do, ie stop reflux, I'm perceiving zero improvement.,

And seeing more and more people talk about noticing their reflux stop almost immediately, moreso than posts that mention a gradual reduction in reflux, I'm suspecting I'm not going to see any great improvement, if at all.

Since day 1 I've been able to belch freely, don't have much by way of dysphagia, gas and imagine I'd have little difficulty vomiting. It's very deflating (pardon the poor pun).


There seems to be a delicate balance in the tightness - eg too tight and side effects of dysphagia/gas predominate, too loose and you have my picture. Get it just right and you reduce reflux significantly and can have side effects but which seem to ease with time.

Looks like I'm not in the centre of that balance and will need a revision, whenever that may be. I know no surgeon can touch me in the next few months at least but will be enquiring about when I can have a revision (if I do indeed warrant one of course).

Anyone have any ideas on this question or comments?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 2/29/2012 8:33 AM (GMT -6)   
Hi Marcello,
I'm sorry to hear you're still getting volume reflux.  Bill might be the one to answer you question best.  My question is this...what were the credentials of the surgeon who did your wrap?  How many of the surgeries had he/she done?
This surgery is an art form, and it takes hundreds and hundreds of procedures to really get it down.
 
If you're not feeling that your first surgery was a success I'd suggest that you research surgeons in your area or even within driving distance (a medical center like Cleveland Clinic, Mayo, or Johns Hopkins, etc.) and get a second opinion from another surgeon.  It doesn't make sense to me to go back to the same person you suspect has done the first one incorrectly.
 
Just something to think about.
Denise

LocalGuy23
Veteran Member


Date Joined Sep 2011
Total Posts : 620
   Posted 2/29/2012 5:03 PM (GMT -6)   
Marcello,

What kind of symptoms are you currently experiencing? Was it the same pre op as well?

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 2/29/2012 5:40 PM (GMT -6)   
Also how much are you eating and what are you eating?
I was still on soft foods at day 18. Also I never ate more than a half cup of food every two to three hours.

If you push the diet you'll suffer terrible.
Joy

LocalGuy23
Veteran Member


Date Joined Sep 2011
Total Posts : 620
   Posted 2/29/2012 6:20 PM (GMT -6)   
I am about Day 23 days post op and still on soft foods/liquid diet.

I believe I'm still experiencing LPR symtoms such as the burning sensation in throat/mouth but I'm not positive. I'm trying to convince myself to give it time and the healing will come but as the days go on, I get less skeptical.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 2/29/2012 7:38 PM (GMT -6)   
Wise decision, Max. 
You can't hurry this recovery.  Just sit back and go along for the ride.  During the early stages you can't tell anything.  You just have to relax and let it do its thing.  If you're constantly second guessing what's going on you're going to make it doubly hard to deal with.
 
Hang in there!
Denise

LocalGuy23
Veteran Member


Date Joined Sep 2011
Total Posts : 620
   Posted 2/29/2012 9:29 PM (GMT -6)   
Thank you so much Denise.

I really look forward to your encouraging posts.

You always give me hope that things will turn better.

Thank you so much :)
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