1st post -- Nissen Fundoplication 2 weeks ago

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papit
New Member


Date Joined Jul 2013
Total Posts : 1
   Posted 7/24/2013 11:56 PM (GMT -6)   
Hi everybody.  So far so good with my hiatal hernia (large) repair and Nissen Fundoplication.  My GERD spans about 20 years or more.  I was on Prevacid for a good 10 years or so which resolved the more violent dramatic upheaval symptoms.  However, in the past 4 years I have increasingly had throat clearing, coughing, irritation to my esophagus and vocal cords and food/acid reflux on some occasions.  Taking the drug twice a day was of no help.
 
Question: My surgeon (who I see next week for a follow-up) said to stay on the PPI (Prevacid), the chief resident doctor (in this highly reputable, top teaching hospital) apparently said to discontinue the PPI as was written into my specific discharge instructions, and the follow-up hospital doctor who called to check on me also said to discontinue the PPI 'so we can see if the surgery worked.'  And my "gut" was to discontinue the PPI.  So that's what I did.  I've read online that some patients have PPI "rebound" when they discontinue.  I've read that some believe it's better to do a slow "withdrawal" from PPI.
I've seen a study or two in which roughly 25% need to return to use of PPI over time post surgery.  I've read another study or two in which roughly 60 to 80% need to continue use of or return to use of PPIs over time.  My conclusion is that the medical community really doesn't have a good handle on the question of post-surgical use of PPIs.
 
Please, fellow Nissen "fundopulators," let me know here or by PM what your experience has been over what period(s) of time post surgery.  I'd love to hear your comments and observations about the advice you received and how you made out. 
 
Also, how would you deal with the surgeon in discussion during the follow-up. Thanks.

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 7/25/2013 9:18 AM (GMT -6)   
Welcome to the wrapped club.  The question re PPIs comes up frequently post-surgery.  Also I suspect it is hard to give up the medication as it was your mainstay in fighting GERD for so long.
 
I would take this back to your Internal Medicine Dr. to discuss the pros and cons as well as should you be weaning off the med instead of going cold turkey.
 
Keep us up to date on how you are doing with the healing.
 
Kindly,
Kitt
~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.



"She Stood in the Storm & When the Wind Did Not Blow Her Away, She Adjusted Her Sails."

Mollymarie
Regular Member


Date Joined Mar 2013
Total Posts : 58
   Posted 7/25/2013 10:56 AM (GMT -6)   
Hi Papit,

I had been on PPIs for 17-18years, last 10 years being Nexium. I had my last one the night before surgery and had no rebound effects. I was on 40mg once per day. I had a few bouts of HB post surgery and still get a bit now 6 months on but I rarely need to take anything. Being off them is wonderful :-) I didn't realise how many side effects they had until I stopped them. I would rather have more surgery than go on those again! Like robichris, the acid was sorted with the PPIs but I ended up with chronic cough and asthma which gave me my surgical referral.

Hope that helps

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 7/25/2013 7:19 PM (GMT -6)   
papit

Welcome to Healing Well and the Wrapped Club!

I stopped taking PPIs the day of my 1st nissen and only used them a again while my wrap was torn apart after an esophagus tear repair while waiting for my nissen to be redone. Once it was redone I was off of PPIs immediately.
The only other thing I took during the recovery phase was protonix that I was give at the hospital. If you post surgical paperwork says to stop them and you feel comfortable with that I see no reason not to, but that is a decision you have to make.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11
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