There are two issues. I'm not saying that people with large hiatal hernias shouldn't have surgery (and by surgery I'm talking about
fundoplication); rather I am saying that the large hernias are the main factors limiting the success of surgery. A mild hiatal hernia would not lessen the success chances of fundoplication.
I don't know why your doctor said fundoplication would not help you. It may have something to do with the manometry results (did he ask for the test?). Alternatively, he might have something against the procedure. A lot of doctors do, but then again they don't suffer from gerd. For goodness sake, get an opinion from a specialist who performs fundoplication. You might be suffering unnecessarily.
I really wish you well. I don't burp constantly so my situation is different to yours. However, it is true that you might not be able to burp with fundoplication. I am not a doctor - just an educated layman suffering like you. I have done a huge amount of research and I am very confident that fundoplication is still the best way to go.
I could recommend three sites (two of them are forums) that have heaps of info on surgery. However, I'm not sure I'm allowed to post them.
You deserve better. The PPIs aren't working. Please get another opinion. I would also try and obtain your results of the ph testing.
Post Edited (Christo) : 6/29/2007 1:57:28 PM (GMT-6)