Nissen (Aug 2013), Bill Dencha, Tony, etal

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txman4102
Regular Member


Date Joined Jul 2013
Total Posts : 90
   Posted 4/19/2014 7:46 AM (GMT -6)   
I hope everyone on the forum is doing well. I have not posted much since my Nissen in Aug 2013 but my symptoms along with other complications have returned. I have made 3 trips to ER since my operation along with visiting my doctor for an Endo. I received the typical ER treatment that my complications were reflux related, so I had my endo completed in Feb. The surgeon said that my 360 degree wrap is intact and that I have gastritis (spelling). I have had an upper CT scan but the results are normal. Additionally I have had every blood test known to medicine only to receive normal results. I am trying to get a barium swallow scheduled.
 
I have since changed doctors and am trying to get a better diagnosis. It seems like my body is producing excess stomach acid. My symptoms include throat constrictions, shortness of breath, hot flashes in face and head, overall weakness. I have had these major complications since Jan 2014.
 
I am not sure what options the docs can give me other than surgery. I am currently on two Nexiums a day supplemented with Gaviscon and Carafate. Nothing seems to work against the acid. I have been on the soft diet for a couple of weeks now but the acid is still there.
 
My question to the experts here is, what is your opinion regarding a vagotomy? I will be seeing my new doc in a couple of weeks and due to my complications I expect the topic to surface during our discussions. I have read several horror stories on other forums but like anything else, sometimes it works for some and not others.
 
Thanks in advance for taking the time to read and comment regarding my problem.
 
 

1039smooth
Veteran Member


Date Joined Sep 2013
Total Posts : 1982
   Posted 4/19/2014 8:39 AM (GMT -6)   
I'm going through some similar things I feel. I hope you can get some good answers from people like Bill here.

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 4/19/2014 10:41 PM (GMT -6)   
txman4102

Sorry to hear things have gotten worse. A barium swallow is the best test to see what is really going on in there. I hope they will get one for you soon. As for the Vagotomy...I really haven't researched it much at all. My surgeons were able to preserve mine with all 3 surgeries.

A PH study would be another good test to see if it really is acid and not food sitting at the wrap or bile refluxing.

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

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

TonyG
Regular Member


Date Joined Apr 2013
Total Posts : 254
   Posted 4/21/2014 11:38 AM (GMT -6)   
I agree with Bill...the barium swallow will be the ideal way to check the anatomy in there. If you're truly experiencing acid reflux (as opposed to bile), the 24 pH study will be the test that will prove it. Do your research on the vagotomy procedure. Sometimes it can cause more problems that it's intended to solve which is why the surgeon works so hard to preserve them during the Nissen.

Be well and take care!
-TonyG-
-TonyG-
Nissen Fundoplication April 30, 2013
Pain-Free, Reflux-Free, Sleeping on my back!
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