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Reversal of Nissen Fundoplication

Digestive Health | Last Active: Jul 16 2:18pm | Replies (108)

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@serenaleern

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.

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Replies to "My 360 slipped and I had a paraesophageal hiatal hernia. My esophagus was completely compressed...I couldn’t..."

My Nissen was done in Iowa, they couldn't figure out what went wrong but MayoGI figured it out in a morning of tests. They said my Nissen could not be taken down or reversed.. it would be worse than before.. I t was explained to me that some of the hair net like nerves that cause the stomach to empty were damaged and I would depend on gravity and time... learning to cope has been a long process. Every meal or time I eat is a challenge..