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stucowley
Regular Member


Date Joined Feb 2013
Total Posts : 44
   Posted 2/24/2013 10:25 AM (GMT -6)   
hello

due to have Nissen fundoplication surgery in 2 weeks !!

whats the general thoughts about the surgery and recovery.

cheers :)

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 2/24/2013 12:07 PM (GMT -6)   
Hi,just be one hundred percent confident in your surgeon,know exactly what your getting and all your questionns are answered.Also make sure all the pre-op tests are done,ie.manometry,endoscopy,barium sawallow and gastric emtying test. Also ask your surgeon about his experience with the surgery,how many surgeries has he carried out? the more the better. barry

stucowley
Regular Member


Date Joined Feb 2013
Total Posts : 44
   Posted 2/24/2013 12:26 PM (GMT -6)   
hello

ive had the endoscopy and the tube up my nose for 24 hours.

im confident in the surgeon etc he has answered all questions etc, he is the ony surgeon in my area that does them.

just wondered on what i can expect after the surgery etc.

cheers

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 2/24/2013 1:56 PM (GMT -6)   
Hi,oh sorry i didnt read your post properly,recovery seems to be different for everyone in lengths of time.I would say 2 to 3 months before youre feeling anyway normal again.You will have to stick to liquids and soft foods at the early weeks and you also feel pretty tired in these early weeks aswell, get yourself some of those nutricional milkshake drinks for vitamins and energy.Hope all goes well for you and see an end to that reflux! Barry

stucowley
Regular Member


Date Joined Feb 2013
Total Posts : 44
   Posted 2/24/2013 2:06 PM (GMT -6)   
no worries mate

ah right, have you had the surgery done?

hopefully mate, its been a long 5 years on omeprazole then laprozole, 20mg then moved onto 30mg, i had to push for the endoscopy as my doctor just thought it was reflux but when i had the endoscopy they found a tear and thats what caused the hiatus hernia, i dunno if thats how they happen on other people tho?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 2/24/2013 3:59 PM (GMT -6)   
Hi Stu,
Welcome to Healing Well!  The majority of people who have a Nissen fundoplication do just fine and have a much improved quality of life afterwards.  Barry (Baza) had a problem with his surgeon/surgery, and his warning regarding the selection of a highly experienced surgeon who specializes in this type of surgery is very wise. 
 
A surgeon should have done at least 300+ of these surgeries in a smaller city, and 1000 in a big metropolitan area. Where I live now, there's a thoracic surgeon who "does all the Nissens", and so had a great amount of experience.  It is important for the surgeon to be highly skilled.  One of the things he does (through the extensive testing he/she does) is decide whether or not the patient is a good candidate for a Nissen and will likely be helped by it.
 
I wonder why your surgeon hasn't ordered a manometry test of your swallowing.  It can help determine what type of wrap (full or partial) will ensure a good outcome.  Maybe he/she only does a loose/partial wrap.
 
I had the surgery 4 years ago, and am extremely happy with the results.  Here's a link of my early recovery journal:
 
This is a great forum to ask questions and receive lots of support.
Glad you've joined us!
Take care,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

stucowley
Regular Member


Date Joined Feb 2013
Total Posts : 44
   Posted 2/24/2013 4:34 PM (GMT -6)   
cheers for that, much appreciated its a good read.

my op is 2 weeks tomorrow, i just want to get it done now, but having said that im starting to have second thoughts mainly due to the recovery process but the pro's outweigh the con's.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 2/24/2013 4:40 PM (GMT -6)   
Hi Stu,
That all depends on how much pain and discomfort you're in right now. I found the recovery to be surprisingly easy, compared to my imagined one. It was actually much better than many of the GERD/gastritis/esophagitis problems I experienced fairly frequently prior to my surgery.

It's not a surgery to be taken lightly, but if you're suffering from really bad GERD-related symptoms and your testing shows that you'll benefit from it, the recovery is well worth the effort.

This forum is a great resource, so take advantage of it. I found it when, like you, I was deciding to have the surgery. It's not an easy decision, and if I can answer any other questions, please ask.
Good luck!
Denise

GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

stucowley
Regular Member


Date Joined Feb 2013
Total Posts : 44
   Posted 2/24/2013 5:16 PM (GMT -6)   
cheers :)

it used to be manageable but the past year its not like, ive woke up in the middle of the night with heartburn the only way i could shift it was to make my self be sick this has happened a few times and its becoming a regular occaurance, i usually take 1 tablet on a morning and im having to take another one after work, and then again before i go to bed.

i know you mentioned that drinking alcohol wasnt a problem after the surgery, am i right in thinking i wont be able to go out drinking with my mates on a night out etc, or will i be limited to a few drinks.

cheers

cat98037
Regular Member


Date Joined Feb 2013
Total Posts : 80
   Posted 2/24/2013 5:50 PM (GMT -6)   
Hi Stucowley.

I agree with baza and dencha regarding your surgeon. I, too, am going to have a NF in a few weeks, if not sooner due to some complications. I was very fortunate in that I was referred to TWO different surgeons for consults. The first surgeon did my chole. He spent a lot of time with me, provided illustrations and answered all of my questions. Fortunately, I had prepared myself for the visit by reading this forum. That surgeon told me that I should ignore forums. I then saw the second surgeon. It was a complete 360' turn. The second surgeon really eased my fears and reiterated many things that have been mentioned on this very forum. He gave great analogies. He reviewed post op expectations and diet. He has done over 800 NF. Needless to say, he will be doing my surgery. There are such a variety of methods that surgeons use, even diet. I found this out in my case. Make sure your surgeon is experienced. If he stutters when you ask him how many NF he/she has done, you might want to get a second opinion before your scheduled surgery.


Best wishes to you and keep us posted as to your healing process. Our surgery dates will fall pretty close together.

crosseye
New Member


Date Joined Jan 2013
Total Posts : 15
   Posted 2/24/2013 5:52 PM (GMT -6)   
dencha,


how long did you suffer from GERD before you decided to go for surgery?

sumner
Regular Member


Date Joined Jan 2013
Total Posts : 22
   Posted 2/24/2013 6:00 PM (GMT -6)   
Had the NF done on the 7th of this month. I am doing remarkably well, just follow the directions your surgeon gives you on release. Keep your attitude positive and do not let things get too much for you.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 2/24/2013 6:56 PM (GMT -6)   
Hi crosseye,
I had been diagnosed GERD for about 15 years. It was never really severe, and my doctors suspected that much of it was "silent GERD". The problem was that I have asthma, and starting about 2003 my asthma started getting worse and worse. I always had some breakthrough reflux even with 40mg Protonix before breakfast and dinner. I was even put on 300mg Ranitidine (Zantac) at bedtime.

My testing did not show severe GERD ever. My PCP and asthma docs were both convinced that my reflux was what was making my asthma uncontrollable. By the time of my surgery in 2009, I'd been hospitalized once for gastritis/GERD and dangerous asthma.

My GI doc dragged his feet, not thinking I needed the surgery, but my PCP kept pushing and pushing. Finally, in desperation, he referred me to a surgeon himself. That surgeon did more testing and an endoscopy, and determined (I'm sure mainly on the recommendation of my PCP) that I would be a good candidate for the surgery.

Having found this forum and done research I knew how important the right surgeon was. I took the information I'd received and went back to my GI doc for another opinion. He did yet another 24 hr PH test (in which my score was 14.8, which is very borderline as normal is considered <14). FINALLY he must have realized that my PCP might be right, and though he said I could continue the medication route, he also said I could make an appointment to consult with a surgeon. He said that, "Probably a couple good reflux episodes a day could be enough to get my lungs going." Duh.

So off I went to the surgeon (I went with the one recommended by my GI office, but checked with others I knew in the medical field regarding the surgeon's reputation, which was stellar. I had a lung infection when I had the surgery, and it took about 2 and a half months to heal those sick lungs.

I didn't know if the surgery would even work when I had it, but was out of options. I couldn't go on like I was, and my PCP said my lung condition was "life threatening". Thankfully, it did.

Good luck with your search for answers!
Vest wishes,
Denise

GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

Post Edited (dencha) : 2/24/2013 4:59:15 PM (GMT-7)


opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 2/25/2013 1:52 AM (GMT -6)   
To answer the question about alcohol after a nissen. Sure can once you are healed. Now carbonated drinks can be rough as it's harder to burp. I have been able to drink my favorite alcohol drink, moonshine, without any problems.

Oh, I had mentioned this forum to my last 2 surgeons and my GI doctor and they thought it was a great idea for us to have peer to peer groups for things such as this. 2 of them actually told me to write a book on my experiences, LOL.

take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 2/25/2013 4:26 AM (GMT -6)   
hi stucowley,as Denise mentioned my surgery did not go well,but i think that was down to the surgeon either not doing the surgery correctly or i had a motility problem that was undiscovered,im currently seeking a second opinion.Thats why its very important to make sure your totally prepared for surgery with a highly experienced surgeon and all tests carried out,no corners cut! Good Luck! Barry

stucowley
Regular Member


Date Joined Feb 2013
Total Posts : 44
   Posted 2/25/2013 8:27 AM (GMT -6)   
Thanks for the replies.

Does anyone actually regret having the surgery ?

Thanks for the reply about alcohol, what is the general recovery time?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 2/25/2013 10:29 AM (GMT -6)   
Hi Stu,
Generally during the first two months, lots of people probably regret it, as they may not have been prepared for what the recovery is like.  I've read posts of people who think that the way they feel in the second week post-op is how they'll feel forever.  That's why it's good to be prepared with lots of information.  The vast majority, once healed, are thrilled with the results.  It's a huge improvement over the problems we faced with GERD.
Best wishes,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

eLaReF
Regular Member


Date Joined Aug 2012
Total Posts : 74
   Posted 2/25/2013 10:35 AM (GMT -6)   
Hi Stu

I'm in the UK and had surgery in Middlesbrough back in 2003.

I was pretty scared at the time, as there wasn't as much evidence of success as there is now and forums like this one sadly didn't exist.

In terms of alcohol, I was told I could drink what I liked 6 weeks after my op. I do enjoy a few pints and haven't had any problems since (I'm a bitter drinker, but I do switch to Guiness now and then).

Depending on how tight your wrap is, you could have problems with other drinks though. Chugging some gassy lagers/bottled beers could be a problem if you can't burp and shots can cause problems too if you can't vomit - as you have no way to get rid of the excess and just carry on feeling sick if you've had too many.

Your stomach will a bit smaller too, so if you are into a bit of binge drinking it's likely you will get physically full quicker than your mates.

Bill can probably advise further on moonshine, but I reckon you'd probably go blind from drinking this before your op causes you any problems.

Cheers.

Les.

stucowley
Regular Member


Date Joined Feb 2013
Total Posts : 44
   Posted 2/25/2013 10:41 AM (GMT -6)   
Hi les

I am in the uk as well and not to far from you, I will be having surgery at Darlington.

Cheers for the reply, I don't think I will be Drinking alcohol as I used to then, which to be honest isnt a bad thing :)

Are you happy with results 10 year on from your op? Have you had any GERD symptons ?

Cheers

stucowley
Regular Member


Date Joined Feb 2013
Total Posts : 44
   Posted 2/25/2013 10:43 AM (GMT -6)   
Hi Denise

Thanks for your reply, 2 months isn't so bad really when I think about it considering how long I've had this for.

Ill be reading everyone's stories so I know what to expect :)

eLaReF
Regular Member


Date Joined Aug 2012
Total Posts : 74
   Posted 2/26/2013 4:31 AM (GMT -6)   
Hi Stu

Glad to catch up with a Darlo bloke, I live in Redcar.

I haven't had a single PPI or any problem with reflux/heartburn since my op which was a full Nissen done laprascopically (this was quite big news in Boro back then, as most of the Nissens done here before mine were performed as open surgery - a massive incision through your back!).

I'm very happy at how my op worked out as I'd had reflux for years before and PPI's had stopped working - to the point where the coughing and pain were making my life a misery.

You get used to the changes in eating quite quickly in the 1st year (slower and more chewing), and otherwise everththing is normal.

Now I'm in my mid 40's I don't drink anywhere near as much as I used to 10 years ago, but I can still keep up with my mates on a night out.

What's your surgeon called? Mine was Mr Vishwahna, and in my case he was 100% successful (might have spelled that slightly wrong, it's been 10 years!).

Good luck.

Les.

reet22
Regular Member


Date Joined Jan 2013
Total Posts : 146
   Posted 2/26/2013 7:27 AM (GMT -6)   
Hi Les I'm also in uk. This forum is great. What I wanted to say was I had my Nissen done in 2001 no-one had heard of it. I was so poorly after, mainly because not even my GP knew what to tell me. I was offered sausage& mash ! In the hospital can you believe that! My symptoms are back now and no-one will help me. I cannot take pills they all upset me I only take sucrafate. I've had lots of tests only the barium x-ray came back positive. The radiologist said 'your reflux is back big time' I could have hugged her!

eLaReF
Regular Member


Date Joined Aug 2012
Total Posts : 74
   Posted 2/26/2013 8:38 AM (GMT -6)   
Hi reet

Did you have your Nissen as open surgery, as I know not many had been done laprascopically in the UK when I had mine?

Really sorry to hear that your problems have come back, when did your symptoms start up again? I'm just coming up for 10 years and haven't had any problems yet, so I'm hoping this will last me for the rest of my life.

I'm not sure what the NHS rules on a redo are here. The NICE website doesn't have any recommendation on this, but classes a Nissen as a standard procedure - so I'd use that in part to argue that a redo should be a standard procedure to repair a failed Nissen.

Given that there are a number of posters on this forum in the US who have had redo's, this indicates that there must be strong medical evidence to suggest that a) this works, and b) it is a cost effective treatment for a failed Nissen.

I would also use this to argue the case with your GP. If they still won't authorise a referral, speak to the Patient Advice & Liaison Service (PALS) adviser at your local Primary Care Trust (PCT), and push for a decision to be made there - although PCT's are changing to something else called NHS Local Area Teams (LAT's) from March.

In a worst case scenario, you could always find a surgeon in the UK who specialises in Nissens and ask them for an initial private consultation (these usually cost around £200), then use the advice they give you to enhance your argument with your GP for redo surgery?

While I was in hospital after my op Prince Andrew visited to open a new bit and as a celebration all patients were treated to a meal of smoked salmon with croquet potatoes and asparagus tips. Have to say I was somewhat disappointed as mine was finely puree'd and consisted of a pink blob, a yellow blob and a green blob on a plate!

Hope this helps.

Cheers.

Les.

Post Edited (eLaReF) : 2/26/2013 7:10:54 AM (GMT-7)


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 2/26/2013 11:05 AM (GMT -6)   
Hi Les,
You are a gem. Don't leave the forum! Your post are extremely helpful, informative and encouraging. The bonus is that you are knowledgeable about all the ins and outs of the NHS.

Thanks for joining, participating, and providing such great information and support!
Best wishes,
Denise

GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

stucowley
Regular Member


Date Joined Feb 2013
Total Posts : 44
   Posted 2/26/2013 11:47 AM (GMT -6)   
It's a small world les :)

I had a reply wrote out but I pressed the wrong button but now it's disappeared :(

My surgeon is a dr. Gillingham he seemed very informative and confident in what he was doing.

Glad to hear your still happy ten years on hopefully ill be the same, do you have any tips for recovery and indeed after recovery ?

I plan to eat what I want next week as it will be a while before I can again.
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