Thanks for your replies. Yeah, all those good names of the people I met when I started participating here as well. I have to tell you, one of the downers is coming here and seeing almost all new names, and realizing that many people have probably moved on while you are still here, struggling. I am not a fan of that.
Well its tough...I have been dealing for 4 years and feel like I should get the surgery or do something definitive. But all the docs and surgeons I have asked have been against it....and I have seen studies based on GERD populations where the sample is people with daily GERD symptoms for 10 years +.
So its tough to gain that perspective...at the same time that patients are going with the "try to manage it and, if that doesn't work, get the surgery", all the medical professionals I see don't see it that way, and many studies are based on patients with 10+ years of daily GERD symptoms...after which a ridiculously small percent see esophageal mucosal changes and most just continue with non-erosive GERD or low level esophagitis.
So to answer your question, I don't think I'll get surgery soon, but also don't know if the goal is to 'manage it'. My current Dr., a 'top doc' and extremely well known adenocarcinoma and barrett's guy has told me numerous times that complete symptom repression isn't usually viable, and the goal is to get like 50% better and to just deal with the other symptoms, as long as Barrett's doesn't develop and the risk of cancer is extremely low.
I can tell you my Dr. was part of the panel that approved the Linx for the FDA, and one day I saw him and just went full throttle for the Linc. EH explicitly told me that I was not a good candidate for it and that it probably was not a good idea for me at all...that I'd have the same symptoms even after the surgery (due to hypersensitivity).