Advice - Nissen Surgery

New Topic Post Reply Printable Version
[ Missing Key Value : en-US, 709 | Missing Key Value : en-US, 708 ]

danielj112
New Member


Date Joined Oct 2013
Total Posts : 1
   Posted 10/28/2013 9:12 AM (GMT -6)   
Hi All,

I recently had an endoscopy which revealed a small (1-2cm) Hiatus Hernia. The endoscopy also revealed an abnormal oesophagus, probably caused by the burning from the acid reflux. This worries me due to the development of cancer, regardless of how small the percentage rate is.

I see a nutritionist as I have been suffering from Candiasis (yeast overgrowth) and very low beneficial bacteria levels for a few years. The HH and acid reflux explains a lot as the incorrect pH level causes all sorts of havoc for the bodies natural balance. So it is really important for me to have this sorted.

The doctor tried to convince me to take PPIs for the rest of my life but I no longer want to take drugs, especially not for the rest of my life. I convinced him that it would be better for me to have the surgery but after reading all of the horror stories I am a bit concerned. So I have a few questions about healing and life post-op;

1. Swallowing - will this eventually return to normal?
2. Eating - Will I be able to eat the same size meals I normally eat, obviously after months of healing?
3. Will I be able to burp?
4. Is life restricted after surgery? Will I not be able to play sports like football, or weight training?
5. I have read about the Floppy Nissen, does anyone know if this is a better option to the normal way?

I am due to do the 24hr pH test, which sounds great.

Are there any other tests I should be having to make sure I am suitable for the surgery?

I am having the surgery at St Thomas's hospital in London and the surgeon is supposed to be very good, so at least that is something not to worry about.

Thanks

Daniel

Mcedge
Regular Member


Date Joined Aug 2013
Total Posts : 292
   Posted 10/28/2013 9:33 AM (GMT -6)   
Hi Daniel

I can't really answer most of your questions - I'm due to have my surgery on 12th November in Cambridge

When you have your 24 hr ph test are you also having a Manometry test ? If not this is a test you will need to have. The test is usually done prior to your 24 hr ph test maybe you'll need to ask about it.


Maria

StephanieJean
Veteran Member


Date Joined Jun 2013
Total Posts : 500
   Posted 10/28/2013 9:59 AM (GMT -6)   
Hi Daniel,
I am 3 months out from my loose floppy nissen

1. Swallowing - will this eventually return to normal?
I was able to swallow normally after about 4 weeks, I had trouble with all of the notorious foods like bread and cake and steak and raw veggies

2. Eating - Will I be able to eat the same size meals I normally eat, obviously after months of healing?
most likely not, you will feel very full very fast and will likely experience some gassiness and will feel fuller on less foods. Nothing extreme though and it does improve over time.

3. Will I be able to burp?
I kind of can, but I cant force it, it just happens.

4. Is life restricted after surgery? Will I not be able to play sports like football, or weight training?
Because you have had major surgery and hernia repair some doctors will tell you that you should avoid any heavy weight training. We hear mixed things about this, but you will need to be gentle on your surgical site for awhile. It takes a long time to heal.

5. I have read about the Floppy Nissen, does anyone know if this is a better option to the normal way?
I have a loose floppy and I found that in comparison to others who dont have it, I was able to enjoy normal swallowing earlier on. They usually only do it if you have good esophageal and stomach motility.

TonyG
Regular Member


Date Joined Apr 2013
Total Posts : 254
   Posted 10/28/2013 11:01 AM (GMT -6)   
Hello Daniel,

My Nissen procedure was done back in April. I have a floppy Nissen wrap.

1. Swallowing: I didn't have a problem swallowing immediately following the procedure unless I was careless in my food choices. I made sure my food was in fairly small pieces for the first 6-7 weeks after.

2. Eating: I was back eating my normal diet, albeit in smaller portions, about 5 weeks after surgery. I get full fast, but don't have a problem eating any kind of food. I love all things spicy, and it feels amazing to be able to enjoy spicy food again, without any consequences.

3. Burping: I can't force myself to burp. No matter how hard I try. Air escapes here and there, but its certainly not what one might consider a belch or loud burp.

4. Restricted Life/Activities: 6 months later and I've been hiking, playing soccer, carrying children, and working on various remodeling projects around the house. I was back at the gym about 6 weeks after but didn't start lifting any kind of weights until about 8 weeks in. My doctor cleared me sooner, but I was just being overly cautious and waited longer.

5. Floppy Nissen: This is typically used if, outside of the reason for the procedure, you don't have any other problems with motility or gastric emptying. It's the gold standard for the Nissen these days where the patient is in otherwise good health. I had swallowing problems earlier on, but increasing my PPI's in the months leading up to the surgery helped with that and reduced the swelling in my esophagus.

Make sure that your surgeon performs a 24 hr pH study, barium swallow, and manometry. Those three tests are key to determining your candidacy for the procedure as well as your surgeons decision as to whether you have a loose floppy or not.

Be well!
-TonyG-
-TonyG-
Nissen Fundoplication April 30, 2013
Pain-Free, Reflux-Free, Sleeping on my back!
New Topic Post Reply Printable Version
Forum Information
Currently it is Wednesday, July 18, 2018 1:02 PM (GMT -6)
Missing Key Value : en-US, 697
View Active Threads


Missing Key Value : en-US, 703
This forum has 161862 registered members. Please welcome our newest member, JenniferJiffy.
438 Guest(s), 13 Registered Member(s) are currently online.  Details
Nick_69, PeterDisAbelard., Michael_T, physedgirl09, JohnMorales, Girlie, sierraDon, InTheShop, Old Mike, kit49, LostBay2020, Redwhite&blue, Tena believes