← Return to Acid reflux: Anyone had Nissen fundoplication to stop GERD?

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@dragnwc19

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.

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Replies to "Chronic GERD resulted in a Barrett's Esophagus diagnosis 25 years ago. Proton Pump Inhibitors long-term no..."

I’m so sorry. I know this has to be miserable and depressing. I’ve had 2 fundiplications within the last 2 years. Before that I had a LINX procedure that failed. The first fundiplication turned into a mess (bad surgery). The last one was in February of this year. It was working great until a few weeks ago. I had an EDG this week and now have grade D esophagus; up from grade B last year. The wrap has slipped again. My gastroenterologist and surgeon are telling me that my options are now more limited. They are talking a gastric bypass.
Not exactly what I want to do, as I’m only 127lbs. However, as afraid as I am to do that, I’m equally afraid not to do it.
My gastroenterologist is David Richards, at MD Anderson, in Houston, TX. I can not recommend him enough. My surgeon is Lee Morris, at Houston Methodist, in Houston.
He is (like many surgeons) not a good communicator, but an excellent surgeon. He luckily has a great PA, who helps him communicate with patients.
I live 9 hours away from Houston, but it is definitely worth the drive and cost to see excellent doctors, who I trust.
Houston’s medical community is known as one of the, if not THE best in the country. I should make clear that the LINX and first fundiplication were done by a different surgeon, where I live.
It took the surgeon, in Houston, 6 hours to “fix” issues from the first fundiplication. 2 of those hors just to cut the adhesions in my abdomen. I say this to emphasize that traveling for better physicians and care is worth it.
Again, I’m so sorry you are having this difficult. I hope you can find a good gastroenterologist that you trust and who can help you find some answers.