Nissan Fundoplication recovery diary

New Topic Post Reply Printable Version
28 posts in this thread.
Viewing Page :
 1  2 
[ << Previous Thread | Next Thread >> ]

bhamboy
Regular Member


Date Joined Apr 2012
Total Posts : 31
   Posted 4/4/2012 1:20 AM (GMT -6)   
Hi,
 
I have been suffering from GERD symptoms since an early age of 8, initially with trouble "catching my breath" which worsened then i lay on my right side, in bed. Lying this side causes more acid reflux as thats there the ends of your stomach are and the doctors put it down to anxiety and panic attacks.
 
Anyway, since then the symptoms have become worse and at the age of 22 it became unbearable. I was finally diagnosed with severe case of GERD and hiatal hernia (took them 14 years mind you...) and have been on 30-60 mg a day Omeprazole for the past 5 years; i am now 27.
 
It has now become unmanageable with medication having chronic reflux, discomfort, sour taste in mouth constantly etc.
 
After having several cameras down my throat, it confirmed that there is still acid erosion despite best efforts to prevent it. I also had a 24 hour pH monitoring test and a manometry, which confirmed I have chronic reflux and am a suitable candidate for Nissan Fundoplication. I've decided to go for the op as I don't want to be on medication for the rest of my life and dont want to get Oespohagus cancer; its unlikely but still a chance. I am hoping this operation will greatly improve my quality of life, particularly stopping my "panic attacks" as a result of acid reflux, permanent sour taste in mouth and feeling weak all of the time from being on PPIs daily for the last 5 years.
 
Please note that this operation is usually a last resort and you should try other techniques to control your reflux in first instance such as medication, eating little and often, not eating before bed, staying away from things like garlic/tomatoes etc.
 
I am keeping this diary as a way for me to track and monitor my recovery progress. Hopefully as this diary develops, it would also be of use to other people who are considering this procedure.
 

Post Edited (bhamboy) : 4/7/2012 10:07:29 AM (GMT-6)


bhamboy
Regular Member


Date Joined Apr 2012
Total Posts : 31
   Posted 4/4/2012 1:40 AM (GMT -6)   
Initial questions i asked my consultant. Please note that you should always seek proper professional medical advice and advice that may be good for me, may not necessarily be suitable for you.
 
How long does it usually take for (severe) bloatedness to settle down and stabilise? Up to 3 months typically.
 
How long would I be expected to feel abnormally tired for? Generally 6-8 weeks but mostly people are ok within 3 months.
 
Diet post-op?
  • Week 1 = Clear liquids
  • Week 2 = Liquid/puree foods
  • Weeks 3-8 = Soft foods
  • Weeks 8+ = Generally back to normal except for no white bread, rice can be difficult to take, tough beef, things like that.

Typically, how many patients suffer from permanent post-op symptoms such as bloating etc?

85% of people are generally ok, 10% have some minor symptoms, 5% experience these "bad" symptoms.

When doing the fundoplication, the effective size of my stomach is reduced due to wrapping the top part around itself to create this new artificial valve. How long would it typically take for my stomach capacity/size to get back to "normal"?

Should be 2/3 back to normal within 6 months but could take 18-24 months to get fully back to normal size.

Post-op, should i limit my food portion sizes to minimise changes of the wrap moving?

Everyone is different but if you follow the diet above, you can't go too wrong. You will know if you are pushing it too much when you swallow and if this happens, slow down your progress and go back onto softer foods for a while.

Your oesophagus is "lazy" in people with GERD - there is less resistance to push food through into stomach, so it becomes week. A lot of discomfort when you swallow post-op is because of it. Think of it like training your muscles in the gym; you need to gradually strengthen them and when you do by swallowing, it should become easier.

What can i do to stop the wrap moving?

Once healed after 8 weeks you can go back to sports and eat (within reason) as normal as possible, albeit in smaller amounts and more often. Going to the gym is OK too but this is in context of me doing a semi-tough workout. I am not a professional body builder or athelete.

You wont move the wrap by eating, in fact you cause more risk to the wrap by coughing than you ever could by eating.

How noticeable are the 5 scars (from keyhole surgery) post-op?

Initially they will be red and noticeable but after 12 months they should barely be visible; like tiny white-like lines.

How many patients have you performed fundoplications on?

200+ and never had to do a re-op from my own initial procedure. I have done re-ops on behalf of other consultants, who did the initial procedure.

Most people are happy post op. Failire rate of this operation is 1% increasing each year. For example, after 10 yrs the failure rate is 10%, 20 yrs is 20% etc.

Will stitches be reinforced to stop them stretching/bursting?

No, the stomach tissue holds the stitches and as long as we make them deep enough (but not too deep to breach the stomach) then we're ok. Once your body heals the scar tissue (think of it like glue) will hold everything in place.

Will I have any tubes or barium swallow post-op?

Not in my case no.

Are there any sports i need to avoid?

No but be concious of bungee jumping and scuba diving. You can scuba dive generally providing you dont have problems belching and you ensure you dont eat any gas'sy foods around that time. Just be careful in what you do and if something doesnt feel right, dont do it.

 

 

 

 

Post Edited (bhamboy) : 4/7/2012 10:06:36 AM (GMT-6)


bhamboy
Regular Member


Date Joined Apr 2012
Total Posts : 31
   Posted 4/4/2012 1:41 AM (GMT -6)   
Day 0
Due to go in for my op late afternoon. Nervous but optimistic about the future. Have sorted out my Playstation portable and some books to ensure I dont get bored during my 3 days in hospital.

I am fairly slim and have a BMI of 20-22, lower-borderline of average. I am nervous about losing weight, as I'm light enough as it is. Have stocked up on cream and jelly, so as soon as i can eat, I will be taking in as much calories as possible to minimise weight loss. 
The procedure is now complete. It's very strange actually, acid reflux gone, I am not in any stomach pain and I can burp as normal and swallow as normal. Have they forgot to do the wrap???!!! The only discomfort I am in Is when I breathe due to my hiata hernia repair - cant take deep breath. Apparently i had a quite large hernia for someone of my age and was told the operation was a success.

Stomach isswollen and sore. I have 5 small incision marks and the one where the camera went in, is very swollen and black, just above my belly buttom.

My first nights sleep was non-existant due to small pain whenever i breathed (from hernia repair). Am told it will go within few weeks. Drinking water is all i'm allowed currently, each sip takes 1-2 swallows to go down now... But one small step at a time...

Day 1 - Weight = 10 stone 0 lbs.
Minor weight loss so far from hardly eating past few days. Am feeling quite weak and tired.
 
Have had nothing but sips of water so far. I have stood up and walked around but don't push it too much - my blood pressure shot up and I felt very sick. Being sick at this stage is the last thing you want now as it would mess up the wrap and breach hernia repair. Close call...
 
Some pain still in back of shoulders, chest and stomach but its bearable.
 
Day 2 - Weight = 9 stone 13 lbs.
The consultant told me I can go home today after lunch and need to meet him in 2 weeks for a review.
 
I tried a small amount of runny custard and a glass of apple juice which went down ok.
 
Once home I had strained chicken broth for tea, which is pretty much a green tinted clear liquid. On the evening, drinking liquids was quite difficult, seems like i've took a step back but its due to the swelling and I'm told it will get better with time.
 
Sleep was non-existant again, I felt hot/cold at the same time and was still having pain on back of neck/shoulders.
 
Day 3 - Weight = 9 stone 10 lbs.
Have weighed myself again and realise I have lost more than I tought. Tried to have regular walks around house to keep active, raise morale and bodily functions active. I hate being bed-ridden.
 
Water is going down easier than yesterday but taking my liquid paracetamol is horrible. It gets stuck at the wrap and makes me feel like im going to be sick for a few minutes.
 
Apart from the tiny amount of custard I had yesterday, I haven't eaten in 4 days. Have just under a week of liquid diet left before I can go onto liquid/puree food diet. It seems whatever TV channel I turn to has food on it which is making me even more hungry. I am really craving a curry...
 
Day 4 - Weight = 9 stone 9 lbs.
Today is a good day. I slept for a few hours last night after taking some liquid paracetamol 20 minutes before bed. Liquids are still a bit tricky to take and am sipping slowly, but its an improvement over yesterday. I am keeping focussed on the end game - a complete recovery. So with each difficult day I have, I see it as a stepping stope to getting to where I want to be and I dont mind too much.
 
I'm getting a very tiny bit of reflux still but its non-acidic and seems to me clear-like liquid. The consultant says its normal at this stage.
 
I'm not hungry at all, my body is getting used to eating nothing. I think most of my craving for food has been a mental issue. You always want what you cant have, right?
 
Day 5 - Weight = 9 stone 7 lbs.
Apart from the odd twinge in back of shoulders and occasional difficulty swallowing when drinking, I have no major pain now.
 
I tend to get some trapped wind but its not like a normal burp, more of a lot more tiny burps, as if air is getting trapped in/around the wrap. I also get what seems like a dull burning sensation and a sharp taste in my mouth, which i think is from mucus build up in your throat; am told this will pass. The burning is not like normal acid reflux, more like healing pains. I'm told the oesophagus is a dumb organ, it interprets everything as reflux, so im not too worried.
 
Weight loss continued and am feeling more drained despite having a decent sleep. So I am going to try something a bit more substantial today, perhaps baby food (apple crumble flavour) mixed in with a lot of milk. I dont want to push eating food too quickly as im concentrated on the long game; it'd be silly to disrupt the healing for just a meal at this early stage.
 
Day 6 - Weight = 9 stone 6.5 lbs.
Slept well, on my side with a pillow supporting my stomach and it was great. Still a bit tired and week but not too bad. I ate some jelly and a bit of runny custard for breakfast which went down ok.
 
No pain at all but bloatedness persists, which im happy to put up with. No heartburn and the sour taste in my mouth has gone today. I know things will get worse near 10-14 day mark as swelling peaks but my body is healing well. I must stress importance of sticking to your guns and not rushing food too quickly, despite cravings.
 
I will try and get some walking done today for exercise and good spirits as its a nice day.
 
Day 7 - Weight = 9 stone 6 lbs.
Weight loss slowed down. I woke up with some minor shoulder/neck pain but stomach itself feels fine and that aside no pain at all.
 
Swallowing liquids is ok except when i drink too quick and it gets stuck slightly, so need to remember to slow down a bit.
 
Can't wait for tomorrow until i can add runny mash with gravy to the existing menu of foods that i can eat; its currently water, jelly and runny custard, so its a welcome addition.
 
Going the cinema this afternoon with my partner to get out the house and try to get back to some sort of normality. Im paying of course...
 
Now I'm in day 7, I will post a little less frequently maybe twice a week or by exception if anything significant happens in my recovery.
 
Days 8-12 - Weight = 9 stone 2 lbs.
No major problems, pain or discomfort. I have stuck religiously to the post-op diet.... 1st week on clear liquids. 2nd week on liquid/pureed food diet. The rare discomfort I do have is when eating E.g. (very runny) ready breck or mash, it gives me hiccups that are the most painful I have ever experienced; it made me pull a muscle in my left shoulder. But this subsides after a minute or two, once i have a few sips of water.
 
Occasional heartburn so minor you might not notice it, but i suspect its either because im hungry (im on a small liquid diet after all) or its healing pains. No reflux, no sour taste in mouth. Fingers crossed this does not change post week 8, when the true success of the operation can be gauged, once most of the swelling is supposed to have subsised. 
Have been to the toilet once since leaving hospital - i've never been regular anyway and with the non-existant diet im on, not surprised i have hardly been. Going that once was a struggle and was around day 3, but i dont think that strain could have damaged my hernia repair or wrap.
 
Have been outside the house a few times to walk for exercise and morale boost.

Post Edited (bhamboy) : 4/16/2012 3:34:45 AM (GMT-6)


aeshleyrose
Veteran Member


Date Joined Jul 2011
Total Posts : 656
   Posted 4/4/2012 3:04 AM (GMT -6)   
Hey BhamBoy, I think this is a great idea for those of us who are thinking about/having a Nissen.

Thanks!! Good luck with your surgery!
Ashley

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 4/4/2012 6:37 AM (GMT -6)   
Hi Bhamboy,
Great post! I think it's a wonderful idea, and will be extremely helpful for others who come to find information about surgery. Good luck today. We'll be waiting to hear from you once you're out of surgery!
Best wishes,
Denise smilewinkgrin

SummerGAL
Regular Member


Date Joined Apr 2011
Total Posts : 116
   Posted 4/4/2012 9:19 PM (GMT -6)   
Hi Bhamboy,

Thanks so much for the posts, very interesting and enjoyed reading them. Keep them coming please. I must admit, I'm one of the gals who can't make up my mind on having the surgery.

SL

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 4/7/2012 2:01 PM (GMT -6)   
Hi Bhamboy,
Welcome to the Healing Well yeah yeah yeah Wrapped Club! yeah yeah yeah You're now a member of that very special group who've experienced the surgery and can support others with firsthand knowledge of the recovery process.
 
Thanks again for sharing your recovery in such a helpful way!
 
Did you get anti-nausea medication prescribed by your surgeon or primary doctor?  If not, you should do so ASAP.  As you so wisely said, you won't want to vomit as it can do damage to your healing wrap.
 
Actually those of us who are fully-healed still carry anti nausea drugs with us and always have them on hand, just in case we need them.  Even after all is healed, it's still better not to vomit, as it's possible to cause problems even the.  I have had two stomach viruses since my surgery and have found that I can vomit.  Each time I vomited once, then used an anti-nausea suppository (they work best for me, as pills add to the nausea and in my experience get vomited up at once!).  That way I avoided further vomiting and retching episodes.  Not pleasant talk, but still important.
 
Walking is a great way to help get rid of the shoulder pain that is so common after this surgery.
 
I know what you mean about food advertisements!  They're brutal!
Happy healing!
Denise

bhamboy
Regular Member


Date Joined Apr 2012
Total Posts : 31
   Posted 4/7/2012 7:51 PM (GMT -6)   
Hi Denise,

Thanks for the feedback and supportive words. I don't have any anti-nausea but I need to - will have a look after bank holiday weekend. I think , as you suggest, will carry some with me permanently.

I'm hoping the swallowing improves soon and looking forward to when I can eat. Even baby food seems appealing at this stage... Were there any foods that you found were easy to eat during early recovery stages? If so, will make sure I add them to my list between the 2-8 week timeline

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 4/9/2012 6:06 AM (GMT -6)   
Hi Bhamboy,
It sounds as if you're making excellent progress and have a great attitude.  There was a point in my first week of healing when I had so much mucous being made that I had to spit it out, as I didn't want to swallow it because the effort was too great.
 
Enjoy your applesauce.  You shouldn't have touble with the texture.  Still, remember that swallowing issues will increase over the next two weeks due to increasing wrap swelling which will peak on or about 14 days.  Once swelling peaks and starts decreasing your swallowing will begin to improve.
 
You are right about the esophagus interpreting all pain as reflux.  Your mini-burp experience is just like my experience.  I always described it as the stomach burping itself.  That will help keep bloating at bay.
 
My surgeon set me free to eat anything that could be chewed to a liquid at Day 6, so it's very possible.  Of course I was very careful and never swallowed anything that wasn't chewed to baby food consistency.  It worked fine for me.
 
Don't worry about the eating.  Before you know it you'll be increasing the amount and texture.
 
Have a great day!
Happy healing...
Denise
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 4/9/2012 8:17 AM (GMT -6)   
Hello bhamboy
 
Welcome to HealingWell and I am glad you are taking the time to chronicle your story here for all the members to read.  I know it will be very helpful to our many members who have questions and are looking for information from members who have joined the wrapped club.
 
It is good to know you have such a positive attitude and that you prepared well for your surgery.
 
I look forward to reading each of your updates.
 
Kindly,
Kitt

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

www.healingwell.com

"Life is not about waiting for the storms to pass...
It's about learning how to dance in the rain."~ Vivian Greene

bhamboy
Regular Member


Date Joined Apr 2012
Total Posts : 31
   Posted 4/9/2012 8:55 AM (GMT -6)   
Thanks all.
 
Dencha,
 
How long did your 'mini burps' last? Whilst I am ok with it, im still slightly worried deep down that this is because the wrap is too weak?
 
I can choose to expel these mini burps or jst put up with the discomfort. Would constant small burping at this stage be detrimental to my recovery, and so i should just grin and bear it?
 
Regarding the mucus, as per the mini burping, i have second-thought that this is because of the wrap being too weak. Presumably its being refluxed up from the stomach? or where else does it come from? I too am having to occasionally spit it out occasionally; apologies to the readers, i know it sounds grosse but there seems no other option.
 
Should i regress my diet (back to previous stages) when swelling peaks? as i dont want to stretch it out as ill be back to square one.
 
 

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 4/10/2012 7:14 AM (GMT -6)   
Hi Bhamboy,
Relax and stop worrying!  I discussed the burp issue with my surgeon because I had the same concerns.  I was afraid my surgery had failed or my wrap was too loose.  (I was told I wouldn't be able to burp or vomit and it turns out I can do both!  The vomiting only happened twice and I immediately took measures each time to make them the last events, as even after you're fully healed repeated and severe vomiting and retching can be damaging to the wrap.)
 
Anyway, I digress.  One thing I worried about was was that at times when I burped, liquid was sent to my mouth.  That was very troubling, as of course, I was afraid it was reflux from my stomach.
 
Not to worry.  What was happening was that the burp was sending whatever liquid and residual food I'd eaten that was sitting at the wrap site back up my esophagus into my mouth.  Once the swelling of your wrap subsides this will happen only very infrequently. 
 
I didn't really try hard to burp.  The burps kind of happened.  I'm not saying I never tried to help the burps along if I was feeling bloated, but really I'm still pretty helpless in that department.  Three years post-op, and I really can't burp at will.  When my wrap/stomach decides it's ready to let some gas out, it does that, and I can have very normal burps at those times now.  (At your stage, I never had big burps, though...just mini burps as you describe them)
 
I don't think you have to worry that your wrap is too loose.  I had the surgery because I suffered from atypical symptoms, and my reflux was never high volume and extreme.  In fact, that's why it took so long to get anyone to do my surgery.  My problem was that small amounts of reflux was creating big problems with my asthma/lungs.
 
So, if after having a burping stomach even in the early stages (and therefore much less trouble with bloating), my wrap is still tight enough to keep my (already fairly low) reflux from affecting my lungs.  I am extremely sensitive to reflux, so if it hasn't bothered me, I don't think you have a thing to worry about.
 
If you're not exerting much force to help your burps out, I don't think it would hurt, but I wouldn't push it much at your stage.  That said, I coughed hard and incessantly during my recovery, and even with all that things held and healed just fine.
 
Whenever you have discomfort and start having symptoms you're worried about, listen to your healing wrap/stomach/esophagus and baby it with whatever foods will do that.  If you can surrender to your recovery (which in my estimation you're doing extremely well) and just follow it where it leads, you'll do just fine.  Sometimes when new foods are introduced we can find we need to step back a bit.
 
Still, wrap discomfort is extremely normal and to be expected at your stage of recovery, so you might find that trying to burp won't do you a bit of good, and the sensation you're experiencing is, instead, swelling and surgical discomfort.
 
You're in the thick of it all right now, and things will improve as you move through recovery.  It's just something you have to live through now.
 
I'm happy to try to answer any questions you have, so ask away! 
Have a great day,
Denise
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”

Post Edited (dencha) : 4/10/2012 9:55:09 AM (GMT-6)


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 4/12/2012 11:36 AM (GMT -6)   
Hi Bhamboy,
Thanks for your continued updates. I have no doubt that your thread will be extremely important to others searching for information.
Enjoy the movie!
Denise turn

bhamboy
Regular Member


Date Joined Apr 2012
Total Posts : 31
   Posted 4/23/2012 7:16 AM (GMT -6)   
Days 12-19 - Weight = 9 stone 3 lbs.
Progression on eating food has been slow. I tried a soft scrambled egg on day 14 and i felt it get stuck and then strong burning when it went down - pain as it was forced through my wrap. I went back to liquid foods and mash/gravy for a few days and tried some lean lamb mince with mash. The same happened with the mince - got stuck and pain.
 
The worst thing about eating is that sometimes it gives me hiccups (in the stomach?). These are very painful and i slightly pulled a shoulder muscle from having them.
 
I've decided to stay on mash and other liquid foods and planned to wait until end week 3 before i try again. Given thats 2 days away, I dont think ill be ready... I dont want to irritate my wrap and it seems it is still sore.
 
I have felt heartburn-like symptoms, but no reflux. I suspect this is healing pains.
 
I have started drinking camomile tea with a bit of honey in it. Apparently its good for your stomach/acid reflux and will help healing.
 
Weight loss has stabilised and feel good considering the surgery i've had done. Still tired sometimes and don't feel full strength.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 4/23/2012 9:52 AM (GMT -6)   
Hi Bhamboy,
Your description seems about right.  I started on regular foods early, but listened to my body and my wrap's reaction to what I ate to judge whether or not I could handle whatever it was.  Often I stuck to soups and soft things, or crispy things that chewed easily to a liquid. 
 
Generally if you take tiny bites and chew until whatever you're eating is creamy in texture, you'll do fine.  Still, sometimes the act of swallowing itself, and the muscle contractions involved, is enough to cause pain and discomfort in the early stages of recovery.
 
As far as the hiccups...they're likely from diaphram irritation, and are common.  Not everyone gets them, but there are plenty who do.  I have heard before that they're very painful, as I can imagine.  It's not something you want to be doing when things in that area are already irritated.  I think the shoulder pain you're experiencing is referred pain from the diaphram/wrap area.  It's a re-irritation of the nerves that create that problem regularly during early Nissen recovery.  Hopefully things will calm down and heal enough to keep the hiccups at bay very soon.
 
I found that a warm beverage--I enjoyed weak black tea--is very comforting to your healing esophgagus and wrap area.  It helps to move things through the wrap as well.  I don't know if you were ever told to stay away from very cold drinks, but they can cause spasms.
 
You have a great, accepting attitude, and are making excellent progress. Just keep doing what you're doing!  Every day is one day closer to complete healing.
 
Best wishes,
Denise

bobblues4ever
New Member


Date Joined Apr 2012
Total Posts : 13
   Posted 4/23/2012 4:31 PM (GMT -6)   
Hi Bhamboy, am at week 3 now myself, eating soft bland diet, .... i was advancing too fast and had dumping , pain and nausea, extreme gas....... someone suggested eating one type of food at a time and every 2 hours small amounts. starches 1 meal, proteins another etc, the stomach will not have to work as hard to metabolize simple diets as it would more a complex array, ( requires more and different enzymes.... )probiotics may also help ...i hear... I am a science project i guess. ;) peace...
thankyou,
Bob

post op Nissen Fundiplication, IBS.

bhamboy
Regular Member


Date Joined Apr 2012
Total Posts : 31
   Posted 4/24/2012 5:47 AM (GMT -6)   
bobblues, that seems to make sense. I have started doing this now as today I have had severe stomach cramps, which i suspect is from advancing the diet too fast, in terms of mixing foods at meals. I am sticking with one type of food in each meal now.

Faith224
Regular Member


Date Joined Sep 2011
Total Posts : 275
   Posted 4/24/2012 9:46 PM (GMT -6)   
Hey Denise,

I was wondering if you could tell me what you mean by volume reflux? Does this mean regurgitation? Also, I was wondering why you had mucus issues during the first week of your surgery? I ask because mucus was a major symptom for me during my flare-up.


Thanks =)
Feel Good,

-Faith

bhamboy
Regular Member


Date Joined Apr 2012
Total Posts : 31
   Posted 4/27/2012 8:34 AM (GMT -6)   
Day 23 - Weight = 9 stone 3 lbs.
 
Today was my first consultation with my surgeon since being discharged from hospital, summarised below.
 
Everything seems fine except for occasional heartburn (not reflux). Was informed that anything is possible at this stage whilst I am still healing.
 
I am still only really on baby food and the like. Surgeon told me to push it a bit more. He outlined to me that theres nothing within reason I can do to make the stitches come loose. They should stay firm as long as he has tied them properly and hes done enough of these operations to be confident that they will stay put. When I feel up to it, I can resume sports including rock climbing, snowboarding and football, even the gym. I just need to eat properly so I have the energy to do these sports now.
 
I had a 5 inch hernia with some of my stomach in my chest, which is significant fomr someone only 27 yrs old. I also had a 360 degree wrap, as he wanted this to last me for life, or as long as possible, seeing as i am so young. The side effect of a full wrap is more difficulty in swallowing in the early stages.
 
The operation itself went perfectly. I am slim and he could easily navigate and see what he needed to see, to get the job done correctly.
 
I tried mashed pork fa.ggots in gravy sauce and felt very tired after. Even though it was a small amount, I imagine it was a huge meal for my stomach to handle after the operation and such a long time out eating normally.

bhamboy
Regular Member


Date Joined Apr 2012
Total Posts : 31
   Posted 4/27/2012 10:38 AM (GMT -6)   
P.S. I forgot to ask the consultant...

Once mainly healed from fundoplication, say 3 months on, what holds the wrap in place? Is it the stitches still or does the stomach sort of fuse together in that position and support itself ?


...anyone know???

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 4/27/2012 11:12 AM (GMT -6)   
Hi Bhamboy,
It sounds like you're doing great.  Thanks for posting your visit with your surgeon. 
 
Hopefully somebody will be by to answer your questions unequivocally, but I'll give it a try.  From my understanding it's a combination of those.  The stitches continue to be an important part of keeping the wrap in place, but it is aided by some scarring that occurs as well.
 
I'll be interested in hearing what others will be saying in response to this excellent question!
Happy healing,
Denise

bhamboy
Regular Member


Date Joined Apr 2012
Total Posts : 31
   Posted 5/1/2012 3:01 AM (GMT -6)   
Day 27 - Weight = 8 stone 13 lbs.
First time in a few days ive weighed myself; am a bit shocked how the weight loss has creeped up on me again.
 
My consultant advised me that short-term a good diet isnt that important and to eat as much food as possible that you would normally limit. E.g. chocolate, cream etc. Am taking weight gainer milkshakes inbetween small meals, and eating chocolate as snacks too.
 
That aside, recovery is great. I have no pain at all, discomfort when swallowing is next to none (albeit mainly on liquid diet). I tried some mince meat in a chilli sauce and that went down nicely, so i think im ready to take my eating to soft foods properly now.
 
I am feeling quite drained of energy and when i wake up in mornings i just dont want to get out of bed. I've been for a few small walks around local shops which really drained me; had to have a small sleep when I got back, crazy! Luckily i was signed off work for 6 weeks, so have 2 more weeks left before im back. i should be ok to get up early regularly and do a full days work by then. The transition back to a "normal" life will be difficult though.
 
One small step at a time...

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 5/1/2012 7:28 AM (GMT -6)   
Hi Bhamboy,
The weight loss is totally normal and really unavoidable.  You'll be back to your original weight once you're eating normally again.  We've all been through the weight loss thing. 
 
When having laproscopic surgery it's hard to remember that we've had major surgery.  While your outsides are healed and you look as if you should feel back to normal, your insides have been through a great deal of trauma.  Your lack of energy will gradually improve as you heal.  Some is your reduction of nutrition and the rest is the result of major surgery.  I
 
t's best to have a good long tme to heal before pushing yourself back to work.  You were wise, indeed, to provide yourself with 6 weeks to recover.  It's best, however some can't afford that luxury.
 
Happy healing,
Denise

bhamboy
Regular Member


Date Joined Apr 2012
Total Posts : 31
   Posted 5/18/2012 1:32 AM (GMT -6)   
Week #6 - Weight = 8 stone 13 lbs.
 
Still seem to be hovering about the same weight for now, even after eating lots fo chocolate and having weight gainer shakes.
 
Back at work 2 days ago, was difficult first day and 2nd day was much easier.
 
No major pain however i do get stomach discomfort which reaults in sensation of heartburn, breathlessness and the sensation of a lump in my throat.
 
The lump sensation i've had for the past 2. After years of GERD i know the difference between reflux and im sure its not that. Also when i talk too much, it feels as if my throat goes slightly numb in a section. Is this normal? I've read sensation of lump in throat is a common side effect but cant seem to find out why. Would appreciate any englightenment.

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 5/18/2012 10:36 AM (GMT -6)   
Hi bhamboy the weight thing is no surprise, after my fundo I lost 10kg in 3weeks and did not really stabilise in weight until around 3 months in. I was very active running 15miles per week and resistance training 3 times per week and as I was told my metabolism was quick. Anyhow you will stabilise on weight as long as you keep eating, I found probiotic drinks and corned beef hash made with butter was a good choice for stabilising weight. I also ate a lot of cheese an potatoe pie as this again was high in calories and I could change th fat content with a lighter cheese.

I had a lump feeling in the throat early on but that was just pos op swelling and as people have said ther may be little external marks but it can be equivalent on the inside to being in a car accident. Keep on eating small high calorie meals and it will all work out. I wish you the best.
New Topic Post Reply Printable Version
28 posts in this thread.
Viewing Page :
 1  2 
Forum Information
Currently it is Monday, April 23, 2018 9:36 AM (GMT -6)
There are a total of 2,954,576 posts in 324,134 threads.
View Active Threads


Who's Online
This forum has 162177 registered members. Please welcome our newest member, sksk111213.
363 Guest(s), 14 Registered Member(s) are currently online.  Details
George_, Pillin, bleepitybleep, Andrina, peterusa, WalkingbyFaith, SharonZ, OriolCarol, UCer23, kit49, Tim Tam, straydog, Runninheid, sksk111213