Hill Procedure or Nissen After Espohyx

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Super Refluxer
New Member


Date Joined Jul 2013
Total Posts : 12
   Posted 6/12/2014 10:57 AM (GMT -6)   
I have had the NDO plicator and Espohyx TIF procedures and still suffer from LPR, so I am resigned to having surgery. Has anyone here heard much about if the Hill Procedure or Nissen Fundoplication is better for individuals who have had TIF procedures done? It seems like there isn't a lot of research on the Hill Procedure, but it sounds less aggressive than Nissen. At the same time, I have read only a couple of studies on doing Nissen after Espohyx and the few studies I have seen involved a limited number of patients.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5004
   Posted 6/13/2014 5:23 PM (GMT -6)   
The best procedure is the one that is right for the particular patient. It must be determined based on testing, things like how strong is the swallow, how long is the esophagus. Then there are factors like is there a hernia? How large and what kind?

As patients, we are foolish to demand specific surgeries just because they are popular. Ask the surgeon what he would do for you.

I had a Toupet (another partial Nissen variety). It was right for me. I asked about the "alternative" types, but my surgeon said they don't do them anymore. They tried them but get better results with Nissen varieties.

You might want to go to a large university hospital, a big place that does thousands of repairs. Not every surgeon will tackle a re-do.
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