Issues after Nissen fundoplication revision

Posted by refluxrefusenik @refluxrefusenik, May 23, 2023

Hello. I had a Nissen redo two years ago, and about a month ago I started to have some epigastric pain. It started with some epigastric pain sort of behind the base of my sternum, sort of like light stinging pain. I had some unusual throat tightness for a couple weeks followed by some unusually frequent burping. With both this redo and my previous Nissen, I could never really burp much, but that was always expected.
However, over the past month since the incident, I've been having mostly small burps (a few larger ones) close to a hundred times a day without exaggeration. Even if I drink water, I feel an awkward discomfort in my esophagus and have to burp, often multiple times. I don't feel like I'm having discernible reflux, but I do have a consistent discomfort in my esophagus. PPIs haven't seemed to help at all.

Has anyone else had any issues of temporary irritation where this has happened? I'm hoping it's a transient issue that could be linked to something else, but I'm not sure what else it could be. I'm in the process of moving and the company I worked at went under recently, so I'll be unable to see a doctor for at least a few months. In the meantime, I figured it would be worthwhile to see if anyone else who has had a wrap has faced an issue like this. I'd be especially curious to hear if anyone else had an issue like this and— if it went away after a time— what caused it.
The wrap was done by an experienced surgeon who said the durability should last for a long time, and I've been careful to not do anything that would cause too much abdominal pressure.

Anyone else have a similar issue?

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Profile picture for lindamks @lindamks

Waited till I was 79 and my stomach was lying on my lungs and heart and causing trouble w/ both. I think I put it off too long.
Diarrhea is my main problem. Going to try cutting out coffee, as suggested by another sufferer.

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Awfully Awful. I have GI major issues with no resolution for 17 years....mine is CIC 💩💩that won't get out of my entire intestinal tract. I have to cause diarrhea on purpose or risk a myriad of side effects. But all of you with this barbaric surgery and a whole new set of problems, I don't think I could live through that. Good wishes being sent to you.

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Profile picture for lindamks @lindamks

I had surgery for a hiatal hernia. The surgeon wrapped the top of my stomach around the esophagus, thus the twisted esophagus. About 2 weeks later, my stomach stopped working (gastroparesis) and I had to go on a liquid diet till it revived. Lost a good bit of weight!

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When I first replied to your post, I really really didn't understand the scope of what you are going through. I think this fundoplication surgery needs to be renamed... possibly replace the "n & d with a C & K". My GI tract, the whole thing is screwy in me, but I do not have the strength to deal with what this causes. You are a very strong person. Good thoughts coming your way.

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Profile picture for dragonfly123 @dragonfly123

the nissen fundo is mixed, it works well for most, but put your bed on a slant, cut out caffiene, that's the hardest part, PPI's in moderation, I've had that backfire, wipe out my good GI bio-bugs, had to get freeze dried breast milk to reset that part of my GI...again that damn caffiene, I bought an extra three years, cutting out caffiene...but maybe the cure is worse than the disease?

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I had Nissen Fundo about four years ago. It was not a fun operation but I did have relief for about two years. Then symptoms came back with a vengeance, worse than before the operation. So back to treating the symptoms.

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Profile picture for ken82 @ken82

@kim1003 and others.. back in 2015 my local GI said a Nissen was what I needed to fix my Severe GERD problems . So I believed him.. bad decision as after the Nissen I was in the local hospital 9 days, had several tests after, was losing weight 50# in 2 months.. I went to Mayo MN.. they said "postoperative gastropanesis " after 3 tests that first day.. they gave me a way to cope.. small meals often..no lying down for 2 hours after eating.. tilt bed, etc.. they say 1 in 6 Nissen surgeries fail.. nerves in the hairnet arrangement around the stomach are damaged.. never to regenerate.. we often hope for the miracle cure.. but slow eating... not stuffing yourself..are things you should have learned as a child... try them before surgery.. if going out to eat..take half home for later. FOR 9 Years now every meal is a challenge.. I fight to gain weight.. ken

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Sorry for the challenges you’ve been having. Thank you for all of the advice. I truly appreciate it.

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Profile picture for dragonfly123 @dragonfly123

I'm not sure, all I know is that I put some electrolytes powder in a glass of water, drank half of it, woke up the next morning, wasn't sure what was sitting there, drank it, and all of a sudden, gurgle, giggle, motion, and within a short amount of time, sat on the can, two little turds and I cried and I laughed, then drank another cup of that stuff, then farting in the bathtub like a little boy..and giggling...also, vitamin B-thiamine and vitamin D3, but D in moderation, the body, the system needs all of these for the GI to work properly...good luck to you, best is also hiking a lot, walking, or swimming, get moving..that was my hard part, but it sure seemed to help, and perhaps yoga, not only child's pose, but also like bow or cobra, stretch that tummy both ways...LOL ;o)

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I also have constipation. I will try this electrolyte stuff. Searching for ways to get my digestion moving again. My surgery was almost a year ago and started having problems after. I was found to have pancreatic atrophy and just had a ton of sludge and stones removed from my gallbladder. This stuff is not fun. I'm glad to read comments from real people. I've also been moving and trying to stimulate my digestion any way I can. I read deep breathing and even putting an ice pack on my stomach could help as it makes the muscles constrict. Thanks.

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Profile picture for shelleyW @shelleyw

This thread on esophagus and stomach surgery is so awful I can't believe a surgery that causes a living hell, life sentence, even exists. In a time where artificial hearts, limbs, ect are done with such success... the "brilliant minds of our time " still perform this barbaric surgery. On the lighter side (there isn't one), losing weight and a lower grocery bill would be great. Many good thoughts being sent out to you.

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My breathing is much better and a week-long heart monitor shows that there was no heart damage. I lost weight I needed to lose and still eat smaller meals. I think I need to give up coffee, tho. There's worse things.
I'm glad I had it done.

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Profile picture for lindamks @lindamks

Has anybody else had problems resulting from fundoplication surgery? Namely, twisted esophagus and gastroparesis? How do you deal w/ it?

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wow, that's cool, and I almost forgot about that, but back then I used popsickles and blue ice, I'd put them on my tummy laying there, cause it would cause the bowel I guess to "shrink" the coolness of it, and in doing so "contact" and that would stop that stupid what it's called, that swollen tummy, and I'd move them around and they'd shrink and get things to move along....popsicles to eat, and popsickles to lay on my tummy, and ...what's that swollen tummy thing? anyway, sure seemed to help. now here's another thing that I used for my gastroparesis, and that's a tenz unit, but gotta be careful cause it can cause the tummy to tighten up and tense up, maybe aggravate IBS, but a tenz to make my muscles "move" put one on one side or the other or the small of the back and such, and turn it on, keep the juice low enough that it's not stinging, and see if that helps, I think that it helped me...still not sure, oh yes, one more I bought freeze dried breast milk from a lady on the web, and added that and that probioltics, there's like two hundred to four million different probiotics and that seemed to help me go from constipation to gooey poo, to regular bowel movements...all those little bugs and such, there's a ton of live organisms, and I read that they are using fecal implants from donors, so I got thinking, okay where to we get them in the first place, well from mom, right? and it can't all be in utero, cause the blood and such from the placenta and that chord thingee, so how...so I asked Charlie my brother and he said well breast milk, so I go hmmm, and starting doing research, and wow, amazing. Also raw milk from cows, but goats is better, but if you can snag some raw breast milk, maybe from a friend, or some freeze dried that's the best, and I think that all those bugs might help with the action and motility, the entire process...
but then I don't know, all I know is that it helped me a lot ,and those PPI kill off the good bugs, and things like SIBO and such, and misery and pain and that breast milk sure helped me a ton of a lot, almost fixed that part of me...life is good again~

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Profile picture for lindamks @lindamks

Has anybody else had problems resulting from fundoplication surgery? Namely, twisted esophagus and gastroparesis? How do you deal w/ it?

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Anyone experiencing gastro issues post Covid?

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Profile picture for shelleyW @shelleyw

GOOD GRIEF, how awful. I have a hiatal hernia too, but dr said that it was not causing problems so leave it alone. I didn't think that was a good idea, but after reading your post, my hiatal hernia is staying put. I have too many other problems to deal with, twisted intestines, I can't handle anything more. Thanx for the insight.

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I agree. I had mine for several years without any problems. Then I had a year of misery. I was even aspirating in my sleep. You will know. I had to have it done. But there's always a risk when you have a serious surgery. Just like my laminectomy. It didn't work but I needed to do something. I'm hoping my doctor contacts me when she gets back from her vacation. Now on CT scan they found the mesh is protruding into my chest cavity. I'm really hoping she used the dissolvable mesch because I can't do this again.

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Profile picture for lindamks @lindamks

Has anybody else had problems resulting from fundoplication surgery? Namely, twisted esophagus and gastroparesis? How do you deal w/ it?

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You have my sympathy.

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