Nissen Fundoplication

Posted by Lindabeth421 @lindabeth421, Jul 5, 2011


I am a Mayo Clinic patient (past or current).
Your interests: LAPAROSCOPIC NISSEN FUNDOPLICATION Your experience as a Mayo Clinic patient (if applicable): Today is one week since surgery at the Jacksonville Clinic. It was a positive experience, in that the care was excellent. Now home in Boca Raton, I am 7 hours by car from my doctors. Although I have a local doctor at home, I feel the need to connect with others who have had this surgery. Anything else about yourself: The main symptom I suffered with was chronic cough. I also have been diagnosed with Asthma. Last summer I became a patient at National Jewish Health in Denver, CO, a hospital that specializes in Respiratory disease. I was diagnosed with Bronchiectosis, probably caused by GERD. I had been on the GERD diet, proton pump inhibitors, inhalers, antibiotics, cough meds, the works. Turning over every leaf possible, I was led to the Mayo Clinic. Somewhat cynical about the outcome, I chose to have the surgery. This week has been difficult. I experienced low grade fever, and belching every few seconds for hours on the fifth day out. This has finally stopped and I am now on soft foods, really I'm clinging to blended still. I would like to hear from others that have had this surgery.

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@luisaismael

Hi
I would like to know about your post surgery.
I understand that you are on soft food while your body adjust to the surgical procedure and I have a few questions.
Have your respiratory condition improved?
Have you stopped taking the PPIs that are usually part of the GERD treatment?
Are you taking new medicines to accelerate the recovery from surgery?
Thanks and hope you are doing well.

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What medication’s help someone recover from a fundoplication

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@cyprus7

how do you feeling now? ı have dumping syndrome:(after nissen surgery

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@ cyprus7 @chippy

To help with the dumping syndrome keep a journal of what you eat and drink and note when you have symptoms. It helps figure out what your gut is sensitive to. Some foods .. and being we are all different, the foods are different that affect us .. can cause or add to the dumping. The biggest culprits for most are greasy foods, sugars, and sugar substitutes. One of the best helps to me and others was to eat probiotic foods (yogurt, kefir, etc ..) or take a probiotic supplement. I cannot eat much so opted for a supplement. It may take a bit of time and money to find the right supplement for you .. give each one at least a two week try. I tried five or six and Align is my probiotic supplement. Some supplements caused me to be bloated and uncomfortable. Some people like to use a prebiotic too, but most people get enough of it in their regular diet. You can easily find lists for probiotic and prebiotic foods on the internet. It is not a cure, but helps. I had to eventually have a gastric bypass to take care of my giant hiatal hernia. I still have dumping days, but now my bowel movements are not as frequent and are not liquid very often. I can now have morning appointments without worry. I still pay close attention to what I eat. Tis the season for sweets and fats. I will eat a little .. very little of them.

ZeeGee

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@caress

I've written to you once before on this Nissen Fundoplications and I just read of so many people swearing about the Mayo Clinic. I have
not even returned to my gastroenterologist because I know he will send me to a general surgeon, I think I'm just plain scared of surgery.
How did your surgery go? Were you in a lot of pain? and how long did you stay in the hospital. I don't know how much longer I can go
on like this, feeling so sick all the time, feeling weak, dizzy, nauseous. I do take nausea pills twice a day.

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I don't think I want to go by myself to Mayo. If I have the surgery here (at Columbia or Mt. Sinai) My husband and one of my sons is around (son has young kids but could help a bit). I posted elsewhere, but a shorter version is I am likely facing fundoplication surgery soon. Long journey hosptialization for sodium crisis revealed opacities etc in one lung (issues continued, bronchoscopy negative for cancer and all other tests) . Swallow test limited to no peristalsis. Barium swallow, pill went through, some hold up in standing position at "junctiion"..not in "swimmers" position. Esophogeal disorders program at major hospital in NYC did endoflip and Brava and doc strongly suggests need fundiplication. Tried all the "lifestlyle chages" - little change.. but I too am worried re surgery. Dr said it was a "risk" at my age (70)... was previously healthy and no signs of reflux until just before and shhortly after hospitalization (but minor) . Now severe episodes wakes me up several times or at 3 am for the day. ).
Uy, not so short. I too wonder if the description minimizes the pain. i will follow up and ask the doctor what the '"risk" is at my age.
I too wonder about teaching hospitals (want to be sure the skilled doctor does the surgery).
Did ANYONE have a long term good outcome? How many of you needed a repeat and after how many years?
How many of you can eat real food ? how long did it take?

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@cblue

I don't think I want to go by myself to Mayo. If I have the surgery here (at Columbia or Mt. Sinai) My husband and one of my sons is around (son has young kids but could help a bit). I posted elsewhere, but a shorter version is I am likely facing fundoplication surgery soon. Long journey hosptialization for sodium crisis revealed opacities etc in one lung (issues continued, bronchoscopy negative for cancer and all other tests) . Swallow test limited to no peristalsis. Barium swallow, pill went through, some hold up in standing position at "junctiion"..not in "swimmers" position. Esophogeal disorders program at major hospital in NYC did endoflip and Brava and doc strongly suggests need fundiplication. Tried all the "lifestlyle chages" - little change.. but I too am worried re surgery. Dr said it was a "risk" at my age (70)... was previously healthy and no signs of reflux until just before and shhortly after hospitalization (but minor) . Now severe episodes wakes me up several times or at 3 am for the day. ).
Uy, not so short. I too wonder if the description minimizes the pain. i will follow up and ask the doctor what the '"risk" is at my age.
I too wonder about teaching hospitals (want to be sure the skilled doctor does the surgery).
Did ANYONE have a long term good outcome? How many of you needed a repeat and after how many years?
How many of you can eat real food ? how long did it take?

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I had a Nissin Fundoplication procedure on May 5, 2022, at the age of 82. Five days subsequent to the 1st procedure, (May 11, 2022) I had to go back into the emergency room because the pain was so severe every time I tried to drink or eat anything, I would feel severely bloated and could not belch. My surgeon suspected that the 100% wrap he performed on my hiatal hernia had slipped causing it to tighten my esophagus, which was the cause of my eating, reflux and severe pain issues I was experiencing.

So, when they went back in there the second time, because the swelling from the inflammation was so bad, they weren't able to find the stiches holding the wrap to relieve the issue, so they inserted a G-Tube out of my stomach so I could get adequate hydration and nourishment until I was able to tolerate eating and drinking normally. I had the feeding tube in 131 days and during that whole time, every bit of liquid and food had to be fed thru the tube.

Since removal of the feeding tube, to this day, I still am not able to eat and or drink normally. But I would add I am very slowly getting to where I am able to eat and drink a very little more every day but nowhere close to how I could before having this issue. If I were to do it again, I would go to a teaching hospital and would want the surgeon with the most experience and satisfied patients. (Recently I have heard different specialists claim these procedures have a fairly high failure rate and it's not all that uncommon to be repeated) The surgeon kept telling me that it takes so much longer to heal the older a person is when the procedure is performed.

Good luck.

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@SherryD

Thank you for your response. Yes, I mentioned the conversation we had<br />
seven years ago. They said many advancements have been made. The part of<br />
the wrap that has come undone gets stuck in the opening of the diaphragm<br />
and it feels like I am having a heart attack and have shortness of<br />
breath. I have had a heart cath and stress tests before and all is well.<br />
I just want to make an educated and well informed decision.<br />
<br />
-- <br />
Sherry Ann Rothe Davenport<br />

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Hi Is possible to reverse the nissen fundoplicatio

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@cblue

I don't think I want to go by myself to Mayo. If I have the surgery here (at Columbia or Mt. Sinai) My husband and one of my sons is around (son has young kids but could help a bit). I posted elsewhere, but a shorter version is I am likely facing fundoplication surgery soon. Long journey hosptialization for sodium crisis revealed opacities etc in one lung (issues continued, bronchoscopy negative for cancer and all other tests) . Swallow test limited to no peristalsis. Barium swallow, pill went through, some hold up in standing position at "junctiion"..not in "swimmers" position. Esophogeal disorders program at major hospital in NYC did endoflip and Brava and doc strongly suggests need fundiplication. Tried all the "lifestlyle chages" - little change.. but I too am worried re surgery. Dr said it was a "risk" at my age (70)... was previously healthy and no signs of reflux until just before and shhortly after hospitalization (but minor) . Now severe episodes wakes me up several times or at 3 am for the day. ).
Uy, not so short. I too wonder if the description minimizes the pain. i will follow up and ask the doctor what the '"risk" is at my age.
I too wonder about teaching hospitals (want to be sure the skilled doctor does the surgery).
Did ANYONE have a long term good outcome? How many of you needed a repeat and after how many years?
How many of you can eat real food ? how long did it take?

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I had a Toupet fundoplication about two years ago in Greenville, SC. It is not a complete wrap of the esophagus. It is a 270 degree wrap so I can swallow, and burp normally. It was done laparoscopically at the same time my large hiatal hernia was repaired. I consider it a great success and life changing. I eat normally with no restrictions. Swallowing is normal. The worse part of recovery was pain in my shoulders from the gas they use to inflate the abdominal cavity during surgery. The gas migrates up into your shoulder areas but resolves in a day or two, It probably took six weeks before I was fully eating normally.

My Dr. is an expert in this area. He works in the Prisma Hospital System. His name is Dr. William Sinton Cobb, IV, MD.

https://doctors.prismahealth.org/provider/William+Sinton+Cobb,+IV/992433?utm_campaign=website-link&utm_medium=organic&utm_source=local-listing
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@publicocean0

Hi Is possible to reverse the nissen fundoplicatio

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In the surgery done one me 1n 2015 the network of nerves that empty the stomach were damaged.. Those nerves do not regenerate.. 1 in 6 Nissen surgeries fails.. do change eating habits Radically to see if other eating habits cause GERD.

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In my case i have 5cm barret so i have to decide If to do fundoplicatio or use pantoprazolo 40mg for all my Life . I believe to reverse fundoplicatio Is pratically impossible ... But i try to find If my ipothesis Is correct or not

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@cblue

I don't think I want to go by myself to Mayo. If I have the surgery here (at Columbia or Mt. Sinai) My husband and one of my sons is around (son has young kids but could help a bit). I posted elsewhere, but a shorter version is I am likely facing fundoplication surgery soon. Long journey hosptialization for sodium crisis revealed opacities etc in one lung (issues continued, bronchoscopy negative for cancer and all other tests) . Swallow test limited to no peristalsis. Barium swallow, pill went through, some hold up in standing position at "junctiion"..not in "swimmers" position. Esophogeal disorders program at major hospital in NYC did endoflip and Brava and doc strongly suggests need fundiplication. Tried all the "lifestlyle chages" - little change.. but I too am worried re surgery. Dr said it was a "risk" at my age (70)... was previously healthy and no signs of reflux until just before and shhortly after hospitalization (but minor) . Now severe episodes wakes me up several times or at 3 am for the day. ).
Uy, not so short. I too wonder if the description minimizes the pain. i will follow up and ask the doctor what the '"risk" is at my age.
I too wonder about teaching hospitals (want to be sure the skilled doctor does the surgery).
Did ANYONE have a long term good outcome? How many of you needed a repeat and after how many years?
How many of you can eat real food ? how long did it take?

Jump to this post

Success here. I had Nissen 270 degree laparoscopic fundoplication surgery at age 70 and had no significant issues with recovery. Home after 24 hours, solid food probably after 2 weeks or so. Other than carbonated beverages and being careful not to overeat, back to regular diet and much improved. Now 8 years later, am still enjoying regular diet and no significant issues, although still mindlful of not overeating. Good luck.

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I’m not sure your reason for the Fundopication… Not sure if I’m a candidate for that one. I’ll check it out.270,Degree? Sounds like a good idea yes
.

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