You certainly do have a lot on your plate right now. I don't have Barrett's--yet (that's what GI keeps saying), but I know I run the risk of it. My GERD symptoms have also gotten worse and worse over the years, and now it's almost as bad as when I was pregnant with my twin daughters. That is despite taking a double dose PPI and 300 mg zantac every night. GI had me back off the zantac--I don't think it was working anyway, but my stomach is upset all the time. And my endoscopy from a bout 5 weeks ago proves it (erosive gastritis and erosive esophagitis--which causes barrett's). I'm not yet 40, though, and I wonder if the acid keeps getting progressively worse what will life be like when I'm 50. My mother had severe reflux too. IT got to the point where she had to sleep sitting straight up and ended up with a massive upper GI bleed before they finally did a fundoplication. While she passed away shortly after the surgery (her death was not related to reflux or the surgery), others who have had the surgery have reported good things about
it. I know it has improved significantly over the years. I also know that BArrett's is a major factor for deciding on surgery. I wasn't aware that a hiatal hernia was a factor too--My doctor told me I have a small one, but it's so small and insignificant I just laugh.
The way I look at it is that if PPI therapy stops working effectively for me, then surgery is probably the best option. And even knowing that the risk of cancer is low with barrett's, the fact that it is even slightly elevated by the barrett's bugs me. I would do the surgery, as long as I trusted the surgeon. I'm sure there are others on here, though, that have had the surgery and can share more information with you.
Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Aciphex, Ultracet, Zyrtec, Allavert-D, Zantac, Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan