Acid reflux: Anyone had Nissen fundoplication to stop GERD?

Posted by debra54 @debra54, May 4, 2023

Has anyone had a Nissen fundoplication procedure done to stop gerd? Is it worth it? Was told that if that procedure was done that I wouldn't be able to throw up but is that the only side effect? Really want to get off protonix.

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@jackielb

Who was your doctor?

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For the Nissen fundiplication surgery? Dr. Eric Paul in Little Rock, Arkansas. (By the way, someone said earlier “you will not be able to vomit.” That wasn’t true for me — can still vomit. I wish I couldn’t! Hate to vomit!)

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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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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?

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@JustinMcClanahan

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?

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Hello Justin,
Thank you for directing me to a better spot in the forum. I'm new here and don't know my way around.
However, please be aware that my thoughts plus two bits might, at times, only buy you a cup of coffee! WW

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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?

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@dragnwc19

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?

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@dragnwc19 - you can do it all from the comment box. The replies go to everyone who is in the discussion you are making your comment. If you want to get a particular member's attention, you can "tag" them by typing in the @ symbol and then their username. You can do this for as many members in one comment as you want.

Every reply will be posted in the discussion thread for all members to see.

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@JustinMcClanahan

@dragnwc19 - you can do it all from the comment box. The replies go to everyone who is in the discussion you are making your comment. If you want to get a particular member's attention, you can "tag" them by typing in the @ symbol and then their username. You can do this for as many members in one comment as you want.

Every reply will be posted in the discussion thread for all members to see.

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Thanks, I'll try to address all in one shot. Are there length limits? I'll try to keep it under Tolstoy's "War and Peace."

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

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@dragnwc19

Thanks, I'll try to address all in one shot. Are there length limits? I'll try to keep it under Tolstoy's "War and Peace."

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There are not length limits. As a general guidance, I suggest keeping posts on point as best you can and to a length you yourself would read. It can be difficult when trying to communicate complex medical situations and experiences in written form.

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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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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.

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