@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..