i had a hiatal hernia repair redo laparospic Nissen fundoplication (the first failed for anatomical reasons-vein caught in the back of the wrap). The redo was seven months ago. I then had constant problems swallowing solids following this redo. I have had three follow up dilations 20mm but solid food still wont go down but appears stuck in my esophagus. the last dilation i initially thought it was better but didn't last for more than few weeks. fluid/liquid is also causing problems to swallow now. Barium swallow shows normal passage down oesophagus with holdup at gastro-oesophageal junction causing stasis and redirection. this is more apparent in the supine position. there is no evedence of oesophageal dysmptility. no signs of gastro-oesophageal reflux. no anatomical abnormalities of the oesophagus/gastro-oesophageal junction. i am now chesty at times especially after trying to eat solids and in the morning. I am also regurgitating after solids. But very little reflux but i am constantly trying to clear my throat and it is flemmy most of the time. i have addisons disease. My surgeon only wants to do a gastroscopy and another dilation 22mm - this will be my fourth. he says the wrap is in its correct place and he seems to think he can now see from the barium swallow results where it is too tight. I do not want to seek a seond opinion as he is regarded the best here. but i am worried he may be missing something