If the patient's gerd is not severe, the LES still has some function, TIF should can fix it. If the suture is loose and TIF is partially undone, the doctor can fix it. I read an article reported this case, after the TIF is fixed, the gerd is gone. Always find a good doctor for any procedure, this kind of mistake can be reduced to minimum at good hand.
Yes, TIF can be reversed laparoscopically, my doctor said he reversed 3 cases, 2 of them are very easy, no scar tissue. 1 patient has some scar tissue, harder to be reversed, still reversed successfully. If something wrong with Nissen, it will be much harder to fix.
Lifting can trigger Hiatus Hernia, I remember one patient with big Hiatus Hernia reported his doctor fixed his Hiatus Hernia first, then perform TIF, his gerd was gone. Then he did a lot of heavy lift in the gym , the Hiatus Hernia come back. His doctor reversed his TIF, fix the Hiatus Hernia again, then implement TIF again. His gerd was fixed again. I think his LES is still functional, so TIFF in this case is sufficient.
If TIF can be fixed, it will be easier than reversed.
Post Edited (bye-gerd) : 10/7/2015 11:43:31 PM (GMT-6)