Considering Nissen Fundoplication Surgery

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narquiett
New Member


Date Joined Aug 2012
Total Posts : 15
   Posted 8/23/2012 5:55 PM (GMT -6)   
Hey Everyone.  I see a surgeon in 2 weeks about having the Nissen surgery.  I'm a little nervous about it though. 
How long were some of you in the hospital and how long were you out of work?

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 8/23/2012 6:20 PM (GMT -6)   
Before surgery make sure you had these tests...
Barium swallow
Manometry (motility study)
EGD
Stomach emptying

I was in the hospital for 24 hours...Out of work for two weeks

Others take 4 weeks depends on your recovery and your job
Joy
When life throws you lemons....
Pick them up and throw them right back at them! :))

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 8/23/2012 8:24 PM (GMT -6)   
Hi narquiett,
Welcome to Healing Well!  I was in the hospital overnight.  I'm a retired teacher, but three and a half years ago, when I had the surgery, I was a second grade teacher.  I'd intended on taking two weeks, then starting back half time, but I had a lot of trouble with my lungs, and flu was going around, so I was forced to stay out about 6 weeks.
 
Here's my early recovery journal.  It might help you get an idea of what to expect:
 
Good luck!
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.”

Chelle1
Regular Member


Date Joined Sep 2012
Total Posts : 25
   Posted 9/28/2012 10:39 AM (GMT -6)   
Hi, this is also my first time being on here. I'm scheduled to see a surgeon next Wednesday. I do not know what to expect or know what he will be telling me. All I know is I have severe acid reflux, chest pain, nausia, and a hiatal hernia. I have had every test under the sun done! My GI doc. sucks and he won't tell me anything! He's just sending me to a surgeon.

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 9/28/2012 8:31 PM (GMT -6)   
Von1, drinking is too rough on your stomach, especially that. Lay off the liqure until you're fully healed. (about a year)
Joy
Lupus, Fibromyalgia, Glaucoma, Asthma, Hypothyriodism, Sleep Apnea, Degenerative Disk and Facet Disease, and Allergies

When life throws you lemons....
Pick them up and throw them right back at them! :))

narquiett
New Member


Date Joined Aug 2012
Total Posts : 15
   Posted 9/29/2012 2:39 PM (GMT -6)   
I saw a surgeon about the surgery.  I am having the motility study on Thursday then I go back to the surgeon to talk more about and schedule the surgery.  I'm getting nervous about having it done this year since its getting so late.  I am going on a cruise on 3/17/13 and think I should wait until I get back but I'm not sure.  My surgeon made the surgery sound so easy and said that he has patients go back to work 4 days after the surgery.   I haven't talked to him about the diet yet.  Any advice???
 
Thanks,
Nicole

narquiett
New Member


Date Joined Aug 2012
Total Posts : 15
   Posted 9/29/2012 5:09 PM (GMT -6)   
You think I'll be ok eating wise if I do it before the cruise? How long were you out of work? When did you have the surgery?

narquiett
New Member


Date Joined Aug 2012
Total Posts : 15
   Posted 10/21/2012 5:13 PM (GMT -6)   
My surgery is tentatively scheduled for November 28th. My doctor wasn't really good at explaining what the diet post op. I know I need to eat a clear liquid diet for the 1st week, but everything I'm reading on the web is different. And I need to be told specific time frames on what to eat and when. Any suggestions?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 10/21/2012 6:36 PM (GMT -6)   
Hi narquiett,
You'll be about 4 months post-op by the time you go on your cruise, and should be able to eat pretty much anything.  Keep in mind you'll still have to be careful to chew your food very carefully...actually this is a forever requirement.  Your wrap is tight enough to keep reflux from exiting your stomach, and it creates a resistence as you swallow food as well.
 
You won't be fully healed, but you'll be well on your way, and should be able to enjoy your vacation.  Everyone is different, but I can say that I took a vacation that involved lots of eating out at 4 months post-op and did just fine.
 
As far as diet goes, that varies widely between surgeons.  Some require extensive liquid diets, while others, like mine, trust their patients to make sensible choices.  I was on a liquid diet in the hospital, and went home on a soft diet.  On Day 5 or 6 post op, I saw my surgeon and he set me free to eat "anything that could be chewed to a liquid".  I can tell you that this worked like a charm for me.  If anything didn't chew to a liquid/creamy consistency, I deposited it in a handy paper napkin.  I liked the fact that my mouth got to do the job of a blender, which allowed me to enjoy a wide range of foods. 
 
Keep in mind that during the first few weeks the top of your stomach will be swollen, and your brain will interpret that swelling as fullness.  Therefore you'll only be able to eat a very small amount of food at a sitting.  Most can handle a third to a half cup, and that's it.
 
Here are two good eating guides:
 
 
They'll give you some great guidelines.  The take small bites and chew, chew, chew recommendation is critical.  Also...your wrap will become increasingly swollen during the first two weeks, peaking on or about 14 days.  Once peak swelling occurs, the swelling will gradually decrease.  Just be advised that your swallowing will get worse before it gets better again. 
 
Listen to your body. If you've advanced to more challenging foods, you may have to back off from time to time as your wrap may complain.  This is normal.  Eventually, when you're fully healed, you'll be back to eating completely normally (however, you'll always have to eat more slowly and chew more carefully.)
 
If you can surrender to your recovery and follow its lead, your recovery will be much easier.  Struggling against what "is", makes your recovery harder.  You can't rush this.  It takes a full 6 months for most of the healing and a full year for the rest.  A lot of the post-6 month healing is just your GI tract getting adjusted to the changes.  I found adjustments continued into the second year.  Just be patient, and go with the flow.
 
We'll be here to answer your questions, and offer our support.
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.”

ladyinred
Regular Member


Date Joined Oct 2012
Total Posts : 36
   Posted 10/21/2012 8:19 PM (GMT -6)   
I have another question for post-op. I don't have a definite surgery date but he thought early November. Will I be able to do swimming etc in Dec/Jan if the surgery goes well? I'm hoping for laproscopic but not sure on that yet either.

Thanks...
RA, OA, Fibramilgia, hiertal hernia, GERD, cardiomyopathy, sleep apnea

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 10/21/2012 8:41 PM (GMT -6)   
Hi ladyinred,
It seems to me that January is a more reasonable goal for swimming, but I guess it would depend on what type of swimming you're referring to.  If you're just doing relaxed swimming, rather than extremely intense fitness swimming, I'm sure it would be sooner.  You'd have to wait until your incisions have healed completely. 
 
Really, it's a question to put to your surgeon.  Generally the rule of thumb is to introduce the activity and listen to your body.  If it's telling you to back off, do that, and attempt adding the activity after a little time has passed. 
 
Hopefully, someone will be by who is a post-Nissen swimmer.  It's actually the first time this question has come up since I've been active on the forum.
 
Take care,
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.”

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 10/21/2012 9:13 PM (GMT -6)   
My stomach was tender until 1 month post-op, but the cuts were healed by 3 weeks.
Joy
Lupus, Fibromyalgia, Glaucoma, Asthma, Hypothyriodism, Sleep Apnea, Degenerative Disk and Facet Disease, and Allergies

When life throws you lemons....
Pick them up and throw them right back at them! :))

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/22/2012 1:41 AM (GMT -6)   
I was doing cardio exercises at 6 weeks following my first Nissen, the intensity was only 50% compared to pre-op but I was able to do some exercise. Swimming was something I did not do until at least 8 weeks post op as the abdominal impact was I found higher and more uncomfortable.

Over time I was able to resume full exercise but anything with a high abdominal impact was not 100% for around 6 months for myself.

An overstated cliche is "listen to your body", but it is absolutely correct. Only you know when something is comfortable.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 10/22/2012 6:39 AM (GMT -6)   
Hi Ladyinred,
See?  I knew somebody would come by with information about swimming!  That's the beauty of this forum. It's a wealth of information.  I'm sure floating around and non-intensive swimming would work much sooner, but if you're considering high-intensity swimming, it sounds as if you'll have to wait a while...
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.”

narquiett
New Member


Date Joined Aug 2012
Total Posts : 15
   Posted 11/11/2012 4:06 PM (GMT -6)   
Finally my surgery is scheduled for November 28th. I'm a little nervous but excited to finally get this done! If anyone has any advice please let me know.
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