My doctor told me I will be more bloated than I am now. You will not be able to vomit, either. And yes, they can damage nerves in stomach. Sometimes they have to re do the surgery. I have heard of Stretta procedure. Please research it.

Also, research TIF (Transoral Incisionless Fundoplication). Surgery is done through mouth. It is for Gerd and LPR. It has been performed on more than 22000 patients with minimal complications. Less than 0.5 percent report experiencing long term side effects such as dysphagia, gas bloat syndrome and increase flatulence. You maybe able to return home next day and go to work within a few days. You should expect some discomfort in your stomach, chest, nose and throat for 3-7 days. While your newly constructed valve heals, you will be on a modified diet. This info is from a brochure from doctor' s office. Please do your own research and talk to a doctor.

@debra54 ... I had a failed Nissen at my local central Iowa hospital to reduce Gerd in 2015..the procedure damaged some nerves in stomach that help it empty. Mayo MN diagnosed it as post operative gastropanesis.. those nerves do not regenerate.. 1 in 6 Nissens fail.. try every thing else first.. eat small meals..snack..chew very well.. with a failed Nissen every meal is a challenge..

I knew the Nissen..failed...very soon as I had to stay in hospital 7 days.. lost 50 lbs within 2 months..I couldn't keep any food down.. the Iowa GI docs kept trying tests to locate problems... I went to Mayo MN they figured out that the damaged nerves that surround the stomach caused me to have "post operative gastropanesis". MAYO MN gave me a way to cope . That Nissen could not be reversed.

Any info on the POEM procedure?

Chronic GERD resulted in a Barrett's Esophagus diagnosis 25 years ago. Proton Pump Inhibitors long-term no longer effective, and have yielded kidney problems plus strong osteopenia. Two failed fundoplications have given rise (no pun intended) to severe reflux with chocking cough at night, with the specter of aspiration pneumonia never far off.
Have not had an EGD w/biopsy in over five years and am looking for a primary care doctor to get a gastroenterology consult.
Has anyone had a successful 3rd fundoplication for severe reflux? It's my understanding that 3x carries a high degree of risk.

Hi @dragnwc19. You many notice I moved your discussion and combined it with an existing discussion titled:

- Acid reflux: Anyone had Nissen fundoplication to stop GERD?
https://connect.mayoclinic.org/discussion/acid-reflux-2
I did this so you could meet members like @ken82 and @pdilly , who have talked about fundoplication and even some complications afterwards.

@dragnwc19 - was your second fundoplication successful when you had it and were the risks of a second one discussed at that time?

Question: How does one do a single reply to more than one person? My reply will address the aggregate.
Would I do it here, in this comment box, or do I have to respond individually?

My doctor told me I will be very bloated if I do the surgery .

I was asked if my 2nd fundoplication was successful and if the risks were discussed beforehand...risks?..... no one could have predicted what would happen. I will say that when I walked into that hospital, every condition necessary to insure that my surgery would fail, was present. And overnight, fail it did, before I was discharged the following day.
This experience taught me to NEVER agree to an elective, major surgical procedure on a late Friday afternoon when an overnight stay may become necessary. The hospital will be short-staffed for the weekend, and the surgical team may lose a measure of concentration because of plans they may have for the evening/weekend.
After surgery I woke up in my hospital room feeling very unwell and it only got worse. I later learned that I had hemorrhaged quite a bit during surgery. The inside of my mouth was all scratched up, especially my gums, and really hurt. Never found out why... did I die, or something? Oh, by the way, it is NOT ok for a post-op patient to wait 2-3 hours for pain meds simply because of short-staffing. I was urged to drink as much water as possible throughout the night, but could not urinate. All night... more drinking...and still couldn't squeeze out a single drop. My bladder was about to burst. I pleaded for a Foley Catheter that never came. More drinking, lots of pain, pushing my IV pole many trips to the bathroom, STRAINING my abdominal muscles with everything I had until I felt something inside me suddenly tear-the surgery had ruptured. Only then did I get that Foley Catheter (a bit too late) and what eventually came out of my urethra were long strings of blood clots. I could not urinate because catheter placement and/or removal had torn tissue and the subsequent bleed had clotted and blocked urine flow.
Straining to urinate was the worst thing anyone could have done after this type of surgery, yet they left me no choice. Shame on whoever rough-handled that catheter placement and/or removal during or immediately post-op; it should have been left in place! And shame on their mess of a system too!
When this 2nd Nissen failed I started to aspirate into my trachea at night because there is no gag reflex to protect that delicate tissue and the lungs from pneumonia. Oh, and to have a urinary tract that functions as well as it used to would be lovely.
I was asked about the success of my 2nd Nissen procedure. And there you have it. Be careful what you ask for!
ps: To the doctor who operated on me
and left immediately without so
much as waving goodbye: May you
have 5-star indigestion at that 1-star
diner!