Post-Nissen Surgery question.

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Ian Victor
Regular Member


Date Joined May 2013
Total Posts : 214
   Posted 8/17/2013 7:26 PM (GMT -6)   
For those of you who have been wrapped: How long after surgery does it take before you have a "normal" appetite? I have read that after a Nissen, the upper part of the stomach (fundus) tells the brain the that it's full. Is that true? How long does that last if such is the case? When do you resume a normal appetite? That issue is one of my post surgery concerns.
 
Ian

opnwhl4
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Date Joined Dec 2008
Total Posts : 4961
   Posted 8/17/2013 7:46 PM (GMT -6)   
Ian-

It returns when everything has healed. Early on most people have a deminished appetite because of the trauma and swelling of the fundus.
Now that said, a lot of people don;t eat as much as they used to because the pressure on the fundus to help the LES will signal you are full sooner, but since a lot of people over est to some extent it's not a bad thing.
You can figure on anywhere from 3 months to a year depending on how your body heals.

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

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

Ian Victor
Regular Member


Date Joined May 2013
Total Posts : 214
   Posted 8/18/2013 9:35 PM (GMT -6)   
Bill-- How about you? How long did it take you to resume feeling hungry and being able to eat a decent meal? I guess I'm worried that I'll never be able to eat a big meal. I have to worry about weight loss because I border on the thin side. Right now my weight is good but I don't want to lose too much weight.

opnwhl4
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Date Joined Dec 2008
Total Posts : 4961
   Posted 8/18/2013 10:37 PM (GMT -6)   
Ian-

I have to go back to my 1st 2 nissens because my last included some very unusual circumstances. I was able to eat normal type foods around 2 to 3 months, but I still had to eat small meals frequently. After about 6 months I could eat a bigger meal, but usually felt overly full when I ate the amount of food I did pre nissen. The key is to eat smaller more frequent meals. Which the doctors I have talked to say is better than eating 3 larger meals anyway.

My last nissen was a huge challenge as I had an esophageal tear repaired just 6 months prior and hadn't been able to eat or drink anything for over 4 of those months. I was severely restricted after my redo also, but by the 3rd month post nissen redo I was able to eat anything I wanted to and any amount I wanted to. I had lost 46lbs during the recovery of those 2 surgeries and have gained back about 21lbs. I gained most of those back between the 8th and 12th month post surgery.
I have permanently modified how much I eat at a time and frequency of my meals by choice now though. I can eat 3 meals if I want to, but I actually am able to keep my weight down easier by eating less more often. As with the weight loss surgery, your stomach can stretch back to it's pre surgery size if you eat larger meals.
basically all my rambling is that you will be able to eat larger meals again, but it will take some time. Something around 4 to 12 months depending on what your eating habits are.

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

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

Ian Victor
Regular Member


Date Joined May 2013
Total Posts : 214
   Posted 8/18/2013 11:23 PM (GMT -6)   
Bill-- I'll trust your wisdom and experience in this matter. The date is rapidly approaching and I'm having a lot of "what if" type of questions. But generally speaking, I am going into this surgery with a very positive attitude. Having read so many recovery stories from this forum has really alleviated many of my concerns. I still exercise daily and try to keep a positive frame of mind. The general theme from those who have been wrapped tends to be "Be patient and everything will work out in the end." People seem grateful to have had the surgery and now eat foods that previously caused them problems.

angie's mom
New Member


Date Joined Aug 2013
Total Posts : 6
   Posted 8/19/2013 9:50 AM (GMT -6)   
Hi, I am a newbie. I am scheduled to have the Nissen wrap next week. I have noticed that a few people have stated that they have had 2 or 3 wraps done. Why is this?

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/19/2013 11:58 AM (GMT -6)   
Ian-

you have a very good plan going into this surgery. Yes, be very patient and it will work out in the end. The results are definitely worth the recovery. Remember it's a marathon, not a sprint.

angie's mom-
I posted to your other thread about my multiple nissens.

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

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

Ian Victor
Regular Member


Date Joined May 2013
Total Posts : 214
   Posted 8/19/2013 4:39 PM (GMT -6)   
Angie's mom-- Yes, Bill is the authority on multiple rewraps and redos. He can answer that question.

You're going to be having surgery a week before I do. We can follow eachother's progress.

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/19/2013 8:11 PM (GMT -6)   
Ian-

You are ready for this! we are here for you any time you need us. We will get through your recovery together. When you need support we will be here.

Those of us who have been through it want to make sure anyone going through this knows exactly what can be expected, but we let everyone know the worst case. Not everyone has the worst case issues with their recovery as seen by a few who have been through it recently. I'd rather everyone be prepared for the worst and delighted if it isn't as bad.

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

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

Post Edited (opnwhl4) : 8/19/2013 8:14:39 PM (GMT-6)


Lois123
New Member


Date Joined Aug 2013
Total Posts : 13
   Posted 8/22/2013 10:46 PM (GMT -6)   
Hi, I'm 2 wks out from NF , so far I don't mind the recovery, its better than 24 hr sour stomach, or heartburn. I'd say its human to be a little scared. I was, but had lots of support, and I was at a point I just wanted to feel better and I do. Wishing u well

Ian Victor
Regular Member


Date Joined May 2013
Total Posts : 214
   Posted 8/23/2013 11:08 AM (GMT -6)   
Lois-- That's good news and I do appreciate the update. Please keep me posted.

Lois123
New Member


Date Joined Aug 2013
Total Posts : 13
   Posted 8/24/2013 12:18 AM (GMT -6)   
Hi Ian, let us know exactly when your surgery is. I am 56 yr old, and again glad I did NF. It's about 15 days since, and I was in the hospital for a total of 24 hr... At first there was some pain with swallowing . My instructions were Clear and full liquid diet and progress as tolerated, everyone's different, but each day I can eat and drink better and better, am relieved of the miserable symptoms of GERD. Ate loosely scrambled eggs and mash potatoes with about an oz of cheese, a few protein drinks, pudding, and some well chewed saltines with very little pain. A lot of the discomfort is when I swallow a little air, but I am able to burp, and this relieves it usually fairly quickly. I had very little post op pain overall. I went back to my job today (desk job /telecommute/work at home. Part time).. I eat smaller more frequently. I've had baby food, smoothies..I only lost 5 lbs up to now..I believe you'll be fine. My doctor had done about 2000 NF's, and gave me statistics about his own cases, and in general. He is a bit lacking in post op instructions, and did not have a name of a dietician I might be able to use, but I figured it out with the help of this blog and making sure my symptoms were normal. He has a good nurse I have called with questions. I know of 2 people not on this blog who were very glad they did the NF. Best wishes, lois

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/24/2013 7:21 AM (GMT -6)   
Lois-

If I haven't already...Welcome to the Wrapped Club!

It's a common complaint to get lacking information about the recovery and such from our surgeons. It's a huge pet peeve of mine. Luckily my 2 redo surgeons were very up on the recovery and confirmed everything I had learned on my own with my 1st one.

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

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

Jenn50
New Member


Date Joined Aug 2013
Total Posts : 13
   Posted 8/24/2013 1:07 PM (GMT -6)   
Hello Everyone,
I just had this procedure 12 days ago and I feel like i'm on a roller coaster. The first 3 - 4 days were bad, but I expected as much. about day 6 I stopped having so much pain when I would swallow (even water was very painful at first), and I thought wooo-hooo! the worst is over... then I found that even though it wasn't painful to consume a bowl of soup or a cup of tea, it didn't appear to all be going down.  Day 11 I threw up, and this really freaked me out. I started to get pretty depressed, thinking I wasn't healing right, so I started to do some research and found this website. After all I have read, it sounds like i'm progressing pretty normally, but I have to tell you I have bouts of wishing I hadn't had this procedure done at all. 
 I have to go back to work on Monday and can't imagine how i'm going to have the energy to work a 40 hour week in a somewhat stressful administrative position. I'm looking for encouragement and tips on healing and getting back to normal. sad
Jenn

alib6
Regular Member


Date Joined Jul 2013
Total Posts : 77
   Posted 8/27/2013 5:41 AM (GMT -6)   
Hi
I'm on day five I'm struggling to get yogurt down today even tea ,I'm just reverting back to water today I've read bills journal and I think it's normal swelling
Ali

txman4102
Regular Member


Date Joined Jul 2013
Total Posts : 90
   Posted 8/27/2013 6:21 AM (GMT -6)   
Ian,
 
On my day 6 post op (yesterday) I started feeling hungry again. Here is was my menu for that day: Breakfast Yogurt. Snack: Boost. Lunch: 1/2 cup of potato soup. Snack:  Ensure. Dinner: 1/2 cup of tuna and 1/2 cup of vegatable soup. 
 
I do not know if I ate too much or what but I really struggled with my yogurt this morning. I also feel very bloated and tired. 
 
 
Hey Ali,
 
Like you, I did not push eating on day 4 or 5. I mainly focused on water and shakes. Then on day 6 it seemed like my swelling had subsided a little and it was less painful to swallow. I still think both me and you have to face the peak swelling period around day 14 of our recovery. Keep posting.

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/27/2013 10:09 AM (GMT -6)   
Rob-

You are heading into the worst part of the recovery. When it gets more of a challenge, slow down and eat a little less. Eating 6 or 8 very small meals a day is much better than over filling your stomach. Your stomach will thank you for it!
I also found some canned fruit was good to mix up textures and tastes. I especially liked peaches and pears. Right now we are getting in some very nice fresh fruits as well and those were a nice change as well for me. I even ate grapes, but I peeled them.

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

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

alib6
Regular Member


Date Joined Jul 2013
Total Posts : 77
   Posted 8/27/2013 10:09 AM (GMT -6)   
I think your right Ian although today it felt like it was backing up.
It's been easier as the day has gone on
Hope your doing ok
Ali

Lois123
New Member


Date Joined Aug 2013
Total Posts : 13
   Posted 8/27/2013 10:35 AM (GMT -6)   
Me, Lois Hi friends. I can relate, I am 18 days out from NF and I have had all these challenges and concerns, thought the feeling was heartburn, but it was part of healing, I feel so happy to not be burning all the time. I forget and take too big of a bite or don't chew we'll, or get too much air, then I get hungry... Fear not, I think it's normal 'm overall making slow but steady progress. Ate sloppy scrambled eggs, a smoothie w Bananna only from smoothie king the lean vanilla one. Premier protein shakes I got at Costco , some soft roasted verges , but real small amts and frequent meals. This was risky because I tried soft fish and it got stuck about 4 days ago, but yesterday I ate a filet of fish from mc Donald's and I ate slow over 1/2 hr and did it. Only was a little too fatty which is not a good idea... Have to burp in order to continue, but not stuffing it in, keeping to small amounts at a time. I eat baby instant oatmeal in a.m. With raisins that soften when I put in microwave with water. I add milk after to make smoother. Of course I wonder if I will be able to eat normal moderate healthy meals , but some of u that have been doing this longer say yes. We don't hear back that much from those that do well, and move on with life because I guess most of them are doing we'll.. We always hear the bad experiences it seems. Have a good day and keep the faith, Lois

Lois123
New Member


Date Joined Aug 2013
Total Posts : 13
   Posted 8/27/2013 4:01 PM (GMT -6)   
Oh, thank u for your welcomes Bill and everyone. You've helped a lot!
I don't think I initially introduced myself, but I was wrapped on 8/9/13. I'm 56 yr old who had Gerd 25 or so yrs ago when u could only take Prilosec for 6 Wks at a time. I probably suffered longer than necessary, because the description about
Wrapping the stomach around the esophagus just seemed
too drastic and scary .. I guess I started to see this differently when my GI finally said its time to consider this as I was taking Dexilant, and other ppi's and H2 blockers,gaviscon, and Alia seltzer all at once for a while, and GI wise was more than not burning, dyspeptic, not hungry and my quality of life was diminishing, and it affected me socially if I couldn't eat a lot of things.. I'm ok with smaller meals, and have hope in the return to a more normal healthy pattern, but before I found this site I mostly read about folks who were having problems or had a bad surgery from perhaps an inexperienced surgeon.. Thanks all. Looking forward to giving a d receiving support!

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/27/2013 8:54 PM (GMT -6)   
Lois-

What you have found on the net is why Denise and I have stayed here. We too only saw the horror stories. While there truly are some I agree it's usually an inexperienced surgeon or someone wasn't a good candidate and the surgeon went ahead anyway.

I also believe there are so many more great results, but they don't have a problem hence don't post it on the net.

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

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