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Reversal of a fundoplication

Digestive Health | Last Active: Oct 5 2:24pm | Replies (109)

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@kdubois

Hi @kozlo52,

I had a Nissen Fundoplication at Mayo on October 18, 2016 to fix a 4 cm hiatal hernia and non-functioning sphincter muscle. Pre-surgery, I would constantly have heartburn and GERD. I would have to finish dinner before 6:00 p.m. every night, and sleep upright using a bed wedge or I would wake up choking on with partially-digested food and stomach acid. (We did the surgery to fix these issues but also because Mayo figured out that genetically, I don't properly-metabolize many medications, including proton pump inhibitors.)

Since the surgery, I have had no GERD or heartburn, and I can sleep normally and eat at normal times again. Post-surgery, I did take NSAIDS for pain for about two weeks.

Important to note: to test my fundoplication post-surgery, Mayo had me do an esophagram and not another manometry. The esophagram will better-show that fluids aren't coming back up into your esophagus as it's a true imaging test and they can literally watch the fluids (barium) real-time while you consume them.

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Replies to "Hi @kozlo52, I had a Nissen Fundoplication at Mayo on October 18, 2016 to fix a..."

Kelly when you say eat normal again, does this mean very small meals 6 times a day? Yesterday i had another manometry test as well as an endoscopy with biopsies. I was told that from the endoscopy my hiatal hernia was intact as well as my LES being right. I then asked why am i still getting heartburn. The explanation from the surgeon was that i am eating too much at a given meal. I am on max antacids and this is 147 days after the initial fundo/and hernia repair.I also asked when i take pain medication that 4 hours later i get heartburn? They have no answer for this part. Are you on any pain medication? I plan to see the head surgeon ,Dr. Blair Jobe to go over the manometry results as well as the endoscopy. I am about ready to have this reversed. Please comment.

According to the specialist i saw last month, once you have the Nissen you should not need any kind of antacid again He explained that is the wrap is working, no acid should be able to come back through. my wrap is to tight which is why i am having it adjusted next week.

@kozlo52 I don't have to eat several small meals every day anymore, and haven't for a while. I only take Advil every once in a while, but I have never experienced heartburn from it. I honestly haven't experienced any heartburn since I had my surgery on October 18.

I do stop eating immediately when I feel myself getting full, but I have over-eaten a couple of times and had no heartburn.

They *really* need to do an esophagram to see if there are fluids coming back up. This test includes imaging while you are standing up straight but also while you are laying down and rolling around in circles. I would ask them to perform an esophagram.

How frequently are you experiencing the heartburn? Daily?