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Nissen Fundoplication

Digestive Health | Last Active: Jan 9, 2023 | Replies (73)

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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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Replies to "I don't think I want to go by myself to Mayo. If I have the surgery..."

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.

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

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.