Fundoplication - AGAIN! Non-Cutting Fundo??

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Ashley1977
New Member


Date Joined Nov 2013
Total Posts : 5
   Posted 11/20/2013 2:25 PM (GMT -6)   
Hello, My name is Ashley. I 36 year old male that like so many have had the pleasure of having Fundoplication due to a hiatal hernia. At the time I was already in pretty good health. I weighed 225 pounds so a little overweight but not the driving reason for having this surgery.

I had horrible reflux all the time and had since I was about 18 years old. I had visisted many doctors over the years and they all did the same thing. They treated me with medication. I hated this because I wanted a fix and taking a pill for the rest of my life was not very appealing to me.

It wasn't until I began seeing an ENT for allerigies in December 2012 that he determined that a lot of my nasal trouble was due to the reflux... I had my surgery laproscopically January of 2013. The surgery went really well. in fact from January to early October 2013 having this surgery seemed to be a life changing event. I was feeling well, lost a lot of weight, was eating healthier, didn't have to take 40mg of Protonix twice a day... Life was great! My sinuses cleared up no more nagging coughing or clearing my throat. I was a new man!

One night in early November 2013 I had a pressure pain right below my lower sternum. It was bad enough that I was not able to sleep. I went back to my ENT which was the Doctor that referred me to the Bariatric Surgeon that did my fundo surgery. The ENT gave me some medication to help until I could see the operating surgeon and went ahead and ordered a Barrium Swallow which proved that I was refluxing again and was indeed symptomatic and had an inflamed esoph.

After getting an appointment and seeing the Bariatric surgeon that did my fundoplication and he reviewed the results of my barium swallow, you would have thought that I carried an infectious disease. He was great during my recovery... but on this visit he acted like he was annoyed that I came back to him with some concerns.

I wasn't upset if anything I thought that I had done something to damage the wrap. The surgeon referred me to a Gastro and pretty much pawned me off. This was very upsetting. Especially since I had several months of relief! I would have had the surgery again in a second!

I saw the Gastro and he wanted to schedule me for Endoscopy and said he thought that it could probably be controlled with medication. I thought, "Here we go again". I scheduled the procedure but in the interim, I went back to my ENT. My ENT is excellent! He asked me how I felt about the entire situation before he offered his opinion.

I explained to him my concern that I am right back to where I was prior to having the surgery. I told him that I didn't mind having endoscopy again but the barium swallow proved that I am refluxing and I am having reflux again. My ENT agreed and did not approve of how the operating surgeon treated me by basically saying not my problem and passing me on.

I don't understand this attitude change? After he talked to me for 2 minutes he handed me a card and said he hoped the Gastro could help me. I was really happy with the results up to this point! My ENT said he would make it a point not to send him any more of his patients.

Obviously I will never know if he does or does not send any more fundo candidates to this surgeon but I hate to think that another patient would be treated the way I was. My ENT called another Bariatric surgeon while I was at his office and explained to him my case and told him what had happened. How I had been a success case and now was right back where I started. I have an appointment 12/2/13 to see this new surgeon.

He advised my ENT that I might have potentially damaged the wrap or maybe it had relaxed in which case a repair could be done. He did state that I might even be a candidate for non-cutting fundoplication if the wrap is in fact the problem. He also stated that he would be able to tell upon my office visit if the wrap had come lose or stretched... The way the cutless fundo was explained to me was that there are no incision externally like the 4 or 5 I had in the laproscopic procedure. Instead he said they go down your throat! Has anyone had this? I was never told about this alternative method in the past? Curious to know anyones experinces with this?

Thanks for reading my fellow wrap bros and sisters!

Ashley

added text breaks fir easier reading

Post Edited By Moderator (dencha) : 12/27/2013 7:37:01 PM (GMT-7)


Ashley1977
New Member


Date Joined Nov 2013
Total Posts : 5
   Posted 11/20/2013 2:26 PM (GMT -6)   
BTW this is my first post ever about my surgery so I hope that it serves a dual purpose of informing as well as asking questions to others.

Ashley

StephanieJean
Veteran Member


Date Joined Jun 2013
Total Posts : 500
   Posted 11/20/2013 2:47 PM (GMT -6)   
Im sorry you are facing a nissen redo- Bill on here has had 3! I am sure he will chime in here and give you some good advice.

Nissen redos are a lot more complicated than even the first nissen, so it surprises me that they would consider a repair without incisions. I am curious to see how this all pans out and I hope you can find answers as to why this happened and relief again!

Ashley1977
New Member


Date Joined Nov 2013
Total Posts : 5
   Posted 11/20/2013 3:20 PM (GMT -6)   
I will be sure and post updates. worst case the wrap is in tact and its something else that could be causing reflux issues. Thanks for the support! I just hate it bc from Jan to early Oct life was great! I was a different person. Sleeping without having to be propped up! It was amazing!

StephanieJean
Veteran Member


Date Joined Jun 2013
Total Posts : 500
   Posted 11/20/2013 3:41 PM (GMT -6)   
I just had mine in august and something happening to it is always in the back of my mind. :(
Did you ever have any episodes of vomiting?

Pat Tall
Veteran Member


Date Joined Aug 2012
Total Posts : 950
   Posted 11/20/2013 8:01 PM (GMT -6)   
Ashley1977 -- I believe the incisionless or cutless fundoplication is called Transoral Incisionless or TIF. Another name is Esophyx. There are some forum members who have had it done. I don't remember them being happy with their results and don't know if it would be applicable to your particular situation. There is info about it in our search engine and quite a bit on Google. Wish you best. This is a great place to learn and very helpful. The moderators are very knowledgeable.

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 11/21/2013 4:35 AM (GMT -6)   
Ashley1977

Welcome to Healing Well and the Wrapped Club.

I haven't heard of anyone having the TIF done with a Nissen already done. I have heard people getting a Nissen if the TIF failed though. Seems as if the TIF isn't doing that well, if the results we see here are common.

Sorry to hear your surgeon blew you off like that.

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

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

Ashley1977
New Member


Date Joined Nov 2013
Total Posts : 5
   Posted 12/27/2013 6:35 PM (GMT -6)   
Update - After meeting with my new Doctor and had another EGD and a PH Probe. It was determined that my reflux post fundoplication was severe enough that correction was needed. I was told that part of the wrap had relaxed to much. This Doctor performed TIF on me 12/23. I stayed in the hospital 1 night and got out at noon on Christmas Eve. Deductible was met in Jan after my Nissen Fundoplication so told the Doc if at all possible having it this year would be great. So now I am 4 days post Tif and having to do the liquid diet again to soft foods.... The usual for those in the wrap club. I didn't mention it above but my initial fundoplication was a 360 wrap. It's early in recovery so I will post in a few weeks as to how the TIF helped me after having Nissen Fundoplication. So far so good. The Doctor said that in many cases the TIF after Fundoplication often results in a strengthened wrap all together. I guess I have more holding it tight. Who knows. I just hope it's a solution that lasts.

Ashley1977
New Member


Date Joined Nov 2013
Total Posts : 5
   Posted 12/27/2013 6:36 PM (GMT -6)   
By the way I forgot how much I love Chicken Broth. Ughhhhhh

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 12/27/2013 8:43 PM (GMT -6)   
hi Ashley,
Glad to hear your procedure is behind you, and you're on the road to recovery! Ah, yes...delicious chicken broth! I wish you the best of luck with your recovery and results. Please keep us updated with your progress! You're the first TIF after Nissen I've heard of. Hope it does the trick!

You do have a fine ENT. It always helps to have a doc like that on your side!
Happy healing,
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
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