Nissen Fundoplication One Year Later

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madhar
New Member


Date Joined Jun 2011
Total Posts : 5
   Posted 5/30/2012 6:30 PM (GMT -6)   
It's been about 11 months following my surgery and I'm back on Dexilant due to extreme heartburn. I have Pulmonary Fibrosis and GERD is common but I never thought I would have heartburn return so soon. My Doctor told me it would take 10 years before the procedure would need to be redone. Anyone else suffering from heart burn following the surgery

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 5/30/2012 7:00 PM (GMT -6)   
Hi madhar,
Welcome to Healing Well!  Sorry to hear you're having problems.  I'm three years post op, and I had the surgery because of my unhealthy asthmatic lungs.  Fortunately, the surgery has done what I'd hoped for me, as my lungs are healthy again. 
 
Have you had any testing to see if your wrap is intact?  I do know (from personal experience as well as observing other posts) that it is certainly possible to get reflux after a Nissen.  Surgeons only attempt to get reflux levels to "normal" (a DeMeester score of less than 14.7).  If the wrap was made tight enough to get reflux levels to zero we wouldn't be able to swallow.
 
Bottom line is that if you overdo it, even with the Nissen, you can get into some reflux issues.  It's often possible to get yourself back to normal with careful eating, even when it feels that things are back to the way they were post op.
 
My lungs are my barometer of how good my wrap is working.  As long as they stay healthy and I'm breathing, I know that I'm in business.  Reflux is rare for me.  My asthma doc and PCP have requested that I continue taking 40mg of Protonix before dinner, and I still sleep with the head of my bed elevated.  This is because my lungs reacted to a very small amount of reflux post op--my DeMeester was very borderline.  Knowing that reflux is still possible after a Nissen, they want to be proactive in protecting my lungs.
 
Have you made an appointment with your GI doc?  Please remember that just because your reflux is bad right now doesn't mean it won't settle down.  Some of us who have atypical symptoms react a lot to a small amount of reflux. 
 
I hope you get things settled back down soon.
Glad you've joined us!
Best wishes,
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.”

madhar
New Member


Date Joined Jun 2011
Total Posts : 5
   Posted 5/30/2012 9:04 PM (GMT -6)   
Dencha,

Thank you so much for your reply. Following an open lung biopsy, in Dec 10, it was discovered I had idiopathic pulmonary fibrosis but what concerned my pulmonary doc was that the biopsy also showed food particles in both lungs. My doctor is referring me back to my GI surgeon who performed the Nissen surgery to see if the wrap is intact and whether I am refluxing again. I do elevate myself when I sleep and watch my diet. It may be that I will always have to take prescription medication. I know my lungs will continue to scar, and I don't want reflux to speed up the fibrosis. I am anxious to see what my surgeon says.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 5/30/2012 9:24 PM (GMT -6)   
Hi madhar,
You are wise to do whatever is necessary to protect your lungs from reflux.  If your wrap is intact and you can control reflux with PPIs then it's worth doing.
 
I never had reflux that inundated my lungs the way it sounds like yours were.  Wow.  Food particles are definitely a no-no in the lungs.  It's even more important for you to be sure that your wrap is doing the job it should.
 
Be sure to let us know what your surgeon says.  
Glad you've joined us!  Hope you get things straightened very soon.
Very best wishes,
Denise
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