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Reversal of Nissen Fundoplication
Digestive Health | Last Active: Dec 8 4:07am | Replies (110)Comment receiving replies
why did you have to have your 360 revised? what were all your symptoms/ i had a 360 done 2.5 years ago and it has been bad for m e since. i have had no reflux, as proven by all the testing. i have weakened esophagus muscles due to probably my Rheumatoid arthritis. after the last barium swallow i could see that water hangs up above the wrap since it is so tight. the surgeon wants me to have an egg swallow test (with a radioactive tracer) to see how long the food stays in my stomach . if it is too long, which can cause esophagus irritation then surgeon will inject botox into the outlet of the stomach (pyloric sphincter) to allow the emptying to be quicker. be very careful of the bypass. i know of a friend who has had this and she has many more problems. when you did your last esophagael manometry what was your "distal contraction integral" value? it should be between 500-5000. if yours was less than 500 (mine is 398.3) then you may have an "hypersensitive esophagus" as i have. prior to fundoplication it was 517.3 ( just above the minimum)....if there were any promotility drugs availiable then your symptoms mayhave been not so severe. your sutgeon needs to recode this as mandatory surgery.... good luck and god bless....kozlo52
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My 360 slipped and I had a paraesophageal hiatal hernia. My esophagus was completely compressed...I couldn’t even swallow water. The surgeon that did it even noted several times that there was diminished motility. The wrap should have come down and stayed down instead of wrapping it again. The wrap further increased the pressure gradient in my esophagus. My vagus nerve was also damaged which caused gastroparesis evidenced by a gastric emptying study. Gastric bypass is an approved surgical treatment for GERD (as well as paresis) in patients whose Nissens have failed. It just makes no sense to me that insurance agrees that the bypass is medically necessary in this case, but won’t pay to reverse the wrap that’s exacerbating my symptoms. Can’t do the medically necessary bypass until wrap is taken down.