From what I understand from reading and talking to GI docs, once the acid is removed from the reflux it is no longer damaging the esophagus. That's why, when they see inflammation, they prescribe the PPIs...later when the esophagus is rechecked, the inflammation is gone. Mission accomplished.
The husband of a friend of mine was diagnosed with Barretts. He was required to get annual endoscopies. My understanding is that once on PPIs the esophagus is protected. Obviously GI's want to keep an eye on problematic esophaguses, but apparently the PPIs are the magic bullet in the fight against esophageal damage.
That's why fewer people have been getting Nissens. GI docs are finding the PPIs take care of the problem, so they aren't pushing as many people toward surgery. Im fact, as you well know, it's quite the opposite.
Happy New Year!
Nissen Fundoplication 2/09
"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.”