Surgery for GERD

Posted by aliceorangebike @aliceorangebike, Dec 18, 2020

I am considering having surgery to resolve my terrible GERD problems. Toupet fundoplication has been recommended for me but it wraps around only 75% of the lower esophageal sphincter (LES). Has anyone had this surgery? Did it resolve your severe GERD problems? Do you still need to take Proton Pump Inhibitor medication? Thanks for your input!

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@amandaa

I bet you are! I would like to introduce you to @ken82, @dannyl, and @rozy288 who have also discussed their GERD here.
Personally, given what others have shared, I would steer clear of surgeons who have never done the procedure. The ramifications can be very detrimental.
Have you looked at any other surgery besides Linx?

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We talked about what could be done - hiatal hernia, also. I trust this dr. But just want to see what the “residuals” are afterward. I’ve seen a lot about trouble swallowing, and that petrifies me. We are in south MS, and he is with the Memorial Hospital at Gulfport. Dr. Derek Ware.

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@saucy

Female and had surgery in 2014

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Has it been a good thing?

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I’ve written about his before if you look under the Linx thread. I had problems until I had it enlarged. Food can get stuck and cause bad chest pain and need to bend over to burp to relieve it. It is doing the job of keeping acid down but still had to take anti acid pills after surgery until I finally figured out I had a fructose intolerance. Mayo checked me for that prior to surgery but once I got off all fruit, sugars, and wheat, I never took a med again. It also got rid of many other ailments I had. Acid reflux can be controlled by diet but my esophagus was damaged from having 10 pound babies.

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@ken82

I had a Nissen surgery at a local hospital in Central Iowa that was supposed to fix my GERD problem.. It was botched.. the GERD got worse. 1 in 6 Nissens fail.. my Mayo GI doc told me.. I had post operative Gastroparesis... Mayo gave me the way to cope with this NON fixable proplem.. See a really good surgeon who has done hundreds.. Do your homework or you will be afflicted the rest of your life.. Ken

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This is great advice to everyone even considering a Nissen.

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@bevlynn54

Just in the beginning phase of looking into it - the doctor here has not done any, although he has been trained. Just a little nervous about the process, and healing. I’ve had reflux issues for years. I’m 67 years old. Tired of taking pills.

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Have your doctor test you for low acid in your stomach!! It has the same symptoms as GERD and is often over looked. All of the pills that you have been taking could be making things worse. I had a NF 5 years ago and I would never recommend it to any one and I had a great surgeon. Come to find out my sister, mom and niece have low acid and were suffering with acid reflux, until they found out they had low acid and are being treated correctly. I wish I would have known about this 5 years ago.

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I had a hernia repair and LINX in September 2018 and have had no problem since. I do not take any antacids or any medications. Check out Dr. Lipham at USC. I was having acid reflux 84 times a day.

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@evanssandy34

Have your doctor test you for low acid in your stomach!! It has the same symptoms as GERD and is often over looked. All of the pills that you have been taking could be making things worse. I had a NF 5 years ago and I would never recommend it to any one and I had a great surgeon. Come to find out my sister, mom and niece have low acid and were suffering with acid reflux, until they found out they had low acid and are being treated correctly. I wish I would have known about this 5 years ago.

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What does NF stand for? I'll be having my first consultation with a specialist surgeon for my diagnosis of achalasia type 111 next week. I have no idea of what he may want to do as far as a specific procedure for this affliction. I just know that I want these uncomfortable symptoms gone. I have lost a tremendous amount of weight over this. The one procedure that stands out for me would to possibly have the (POEM) procedure done. Then you just need to take a pill a day for the rest of my life. This procedure compared to the other two I read about, seems better in the long run. The other two sound rather iffy as far as long term results.

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@amandaa

I bet you are! I would like to introduce you to @ken82, @dannyl, and @rozy288 who have also discussed their GERD here.
Personally, given what others have shared, I would steer clear of surgeons who have never done the procedure. The ramifications can be very detrimental.
Have you looked at any other surgery besides Linx?

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@bevlynn54 .. I have chronic digestive disorders, GERD , Gastritis, Esophagitis, Small hiatal hernia, diverticulosis, and some IBS . The worst is 3000-4000 deep wet horrible belches and non stop churning gut 24/7 .
I’ve seen 5 Gastro Drs in 7 years. Tried everything under the sun . I’m off to Mayo Clinic Jacksonville tomorrow. I have to re do , 2 hr SIBO breath test , Entraogrophy C scan w/ contrast and another endoscopy with endo flip this time . In 2 days of testing . Plus they do a Covid test 1 st day . So 3 days .
Took me 7 months to get televisit. I’m at my last ditch effort.
Cannot eat anything w/ o major suffering. I eat so clean and healthy too .
I’m a mess . I hope you get the answers you need . I pray 🙏 they can figure me out . I live on Ultra Pepto and that’s it for my issues now . Can’t take much more . God Bless you … Rosemary

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@rozy288

@bevlynn54 .. I have chronic digestive disorders, GERD , Gastritis, Esophagitis, Small hiatal hernia, diverticulosis, and some IBS . The worst is 3000-4000 deep wet horrible belches and non stop churning gut 24/7 .
I’ve seen 5 Gastro Drs in 7 years. Tried everything under the sun . I’m off to Mayo Clinic Jacksonville tomorrow. I have to re do , 2 hr SIBO breath test , Entraogrophy C scan w/ contrast and another endoscopy with endo flip this time . In 2 days of testing . Plus they do a Covid test 1 st day . So 3 days .
Took me 7 months to get televisit. I’m at my last ditch effort.
Cannot eat anything w/ o major suffering. I eat so clean and healthy too .
I’m a mess . I hope you get the answers you need . I pray 🙏 they can figure me out . I live on Ultra Pepto and that’s it for my issues now . Can’t take much more . God Bless you … Rosemary

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So sorry! My issues pale in comparison!! Hope you get some relief!!

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@d13

What does NF stand for? I'll be having my first consultation with a specialist surgeon for my diagnosis of achalasia type 111 next week. I have no idea of what he may want to do as far as a specific procedure for this affliction. I just know that I want these uncomfortable symptoms gone. I have lost a tremendous amount of weight over this. The one procedure that stands out for me would to possibly have the (POEM) procedure done. Then you just need to take a pill a day for the rest of my life. This procedure compared to the other two I read about, seems better in the long run. The other two sound rather iffy as far as long term results.

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NF stands for Nissen Funduplication surgery for acid reflux. I have never heard of achalasia type 111 but if I were you, I would be asking a whole lot of questions about the procedure that you are considering having done. All procedures have risks and in my case and may others like me that had the NF done, are suffering more than ever did before. I look briefly into the procedure that you are thinking of and it looks like it is new and doesn't last. It would have to be redone and there are several complications. If you have Face Book, look for groups that are specific to achalasia. I'm sure that there is one. That is where I have found a lot of support and answers to many question to my condition. Best of luck to you!

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