Which Surgery Should I Get w/ my symptoms

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New Member

Date Joined Sep 2013
Total Posts : 2
   Posted 9/12/2013 2:20 PM (GMT -6)   
For years, I have had acid reflux.

But this isn't about the reflux per se. I can live with the reflux and take dexilant etc.

But what I cannot live with is the fact that after I eat a meal, food spontaneously comes up from my stomach into my mouth. When I lay in bed food or water rushes into my throat and I have to sit up and re swallow the food/water.

I have had an endoscopy and the surgeon said that the sphincter that closes above the stomach does not close like normal. He said that he put his scope through the sphincter and the sphincter didn't contract against the scope, and he said that he probably could have fit another scope and a half through the sphincter no problem.

The surgeon also said that I had a decent sized haital hernia. Not a very large one, but a decent one.

Symptoms include random attacks of acid coming up into my throat, and food and water coming up. Sometimes I will burp and food will come rushing up, and sometimes I am unable to shut my mouth in time and I end up spitting the food on myself (embarrassing when out with friends).

So my question is this, which surgery is better for my symptom profile?

Nissen Fundoplication or the Esophyx TIF procedure or some other procedure? Please explain your response so that I can make an informed decision. I just keep reading about how these procedures are used for acid reflux but I have the additional symptom of food coming up.

Regular Member

Date Joined Jul 2013
Total Posts : 77
   Posted 9/12/2013 2:41 PM (GMT -6)   
Some of your symptoms were the same as what I had and I am now 3 weeks post op for a Nissan fundo.
Good luck with what you decide it's the best thing I ever did

Veteran Member

Date Joined Jun 2013
Total Posts : 500
   Posted 9/12/2013 3:56 PM (GMT -6)   
Same with me. I also had a Nissen and it totally fixed the problem. I did not want to be on meds forever and they weren't really working anyway

New Member

Date Joined Sep 2013
Total Posts : 2
   Posted 9/12/2013 4:04 PM (GMT -6)   
Thanks for the responses.

Can you guys tell me if you had any complications with the surgery and how long has it been since the surgery?

Veteran Member

Date Joined May 2012
Total Posts : 541
   Posted 9/12/2013 10:13 PM (GMT -6)   
From my insight of going around to Doctors at Mayo Clinic, UW-Madison and Medical college of Wisconsin... The tif is a procedure that doesn't get done often by the top end surgeons. My Dr's usually said that the TIF doesn't provide the results of a nissen and the long term data doesn't seem to have the same longevity.

TIF= Small to no hernia with mild to moderate heartburn. Not a great choice for LPR.
Nissen= Large hernia, with LPR/GERD symptoms that are severe.

Forum Moderator

Date Joined Dec 2008
Total Posts : 4961
   Posted 9/13/2013 4:57 AM (GMT -6)   

Welcome to Healing Well.

Myself I would go for the Nissen. It's what's been around the longest and has the most data on.
I would most likely be on my original nissen if it would have been done correctly. I then wouldn't have had a all the dilations and a redo 3 years later. Which had to be redone after an esophageal tear. I am very happy with the results I had with my 1st redo and my latest redo after the tear. I am currently 24 months post redo and doing great.

Take care,
Moderator: GERD/Heartburn, Kidney disease

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

Veteran Member

Date Joined Jun 2013
Total Posts : 500
   Posted 9/13/2013 6:37 AM (GMT -6)   
I am just a bit over a month out after my nissen. It has for sure handled the issue and honestly, while the recovery has been kind of strange, it hasn't been bad. I have a journal up on here, feel free to take a look at it!
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