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Post-Nissen Fundoplication Problems: What helps?

Digestive Health | Last Active: Aug 18 11:19am | Replies (139)

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@gabigirl26

Hello- I have had to have 3 Nissen Fundoplication surgeries to fix hiatal hernia. The first two came undone and were too loose. The third one, they also did a combo Wedge Gastroplasty (took a piece of my stomach to use to make my esophogus longer) and did the Nissen redo. I have been having a lot of problems with sharp upper abdominal pain especially when eating, nasuea, bloating. The pain gets so bad sometimes that I can't walk or stand up straight. I am on Zofran as needed for Nausea and now using Protonix (again) in the morning. I have been alternating on Omeprazole and Protonix every so often because it seems I end up getting used to or building a tolerance to these meds. The pain has been increasingly worse the past month. Had a barium swallow and showed no reflux or hiatal hernia. I go next week for an endoscopy. Can a Nissen be too tight? Is that something you would see on the barium test or not? I am nervous I may need another surgery again and I am just trying to see if anyone else out there has had this issue?

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Replies to "Hello- I have had to have 3 Nissen Fundoplication surgeries to fix hiatal hernia. The first..."

Hi,
I'm sorry you are experiencing so much trouble with your wrap. I got my wrap in 2000 and yes I have been experiencing some of the same symptoms that you are having right now. After I got my wrap the symptoms weren't bad. My GI doctor would prescribe meds that would address the symptoms but not the root cause of the problem which they still have not defined. I had one endoscopic dilation in 2017 because the wrap had gotten too tight and was causing bloating, constipation, and nausea and other issues. The dilation worked for 7 months and then my symptoms returned. Because my system gets overwhelmed with gas, I changed my diet to remove certain vegetables and sweets that were adding to the bloating. I also did some research to find herbal remedies that address my specific symptoms so that I can have some kind of relief until I get the wrap undone. I found one, DGL (licorice) that helps with bloating. I take citrucel and miralax for constipation. I wish you the best in resolving your problem. Have a blessed day.

From the comments on this forum it sounds like almost no one has had much success with this procedure. But It must be quite common. Am wondering why.

Hi,
God bless you for going through 3 NFs. I really never experienced the sharp pain but my stomach would ache a lot . I do experience the nausea and bloating after I eat; but more so after eating a high fiber meal. The high fiber introduces more gas into my digestive system which makes me nauseated and light headed. I had a endoscopic dilation in 2017 because my wrap was too tight and it did help to reduce my constipation. Since I got my wrap in 2000, I have been having so many digestive problems. I will be getting mine reversed this week. Will keep you posted. Have a blessed day.

@gabigirl26 When I had my Nissen repair the surgeon used mesh in a place he should not have and it caused me a lot of pain. I went to the Mayo in Jacksonville and had the Nissen undone. They removed the mesh with part of my fundus and could not do a redo. They repaired the hernia, but it failed. Had to have a gastric bass to fix the hernia. I had complications and more surgery. Now pain if I eat too much at one time or bend too much.

I hope the cause of your pain is found and there is a fix for it. .. without any complications.

Zaroga