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Nissen Fundoplication

Posted by Lindabeth421 @lindabeth421, Jul 5, 2011


I am a Mayo Clinic patient (past or current).
Your interests: LAPAROSCOPIC NISSEN FUNDOPLICATION Your experience as a Mayo Clinic patient (if applicable): Today is one week since surgery at the Jacksonville Clinic. It was a positive experience, in that the care was excellent. Now home in Boca Raton, I am 7 hours by car from my doctors. Although I have a local doctor at home, I feel the need to connect with others who have had this surgery. Anything else about yourself: The main symptom I suffered with was chronic cough. I also have been diagnosed with Asthma. Last summer I became a patient at National Jewish Health in Denver, CO, a hospital that specializes in Respiratory disease. I was diagnosed with Bronchiectosis, probably caused by GERD. I had been on the GERD diet, proton pump inhibitors, inhalers, antibiotics, cough meds, the works. Turning over every leaf possible, I was led to the Mayo Clinic. Somewhat cynical about the outcome, I chose to have the surgery. This week has been difficult. I experienced low grade fever, and belching every few seconds for hours on the fifth day out. This has finally stopped and I am now on soft foods, really I'm clinging to blended still. I would like to hear from others that have had this surgery.

Interested in more discussions like this? Go to the Digestive Health Support Group.

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jojo | @jord | Jun 6, 2023
In reply to @debra54 "Has anyone had a Nissen fundoplication procedure done to stop gerd? Is it worth it? Was..." + (show)
Profile picture for debra54 @debra54

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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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.

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ken82 | @ken82 | Jun 7, 2023
In reply to @debra54 "Has anyone had a Nissen fundoplication procedure done to stop gerd? Is it worth it? Was..." + (show)
Profile picture for debra54 @debra54

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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@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..

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sandralewis62 | @sandralewis62 | Jun 7, 2023
In reply to @ken82 "@debra54 ... I had a failed Nissen at my local central Iowa hospital to reduce Gerd..." + (show)
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@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..

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How did you know it failed and how soon did it fail?

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ken82 | @ken82 | Jun 7, 2023
In reply to @debra54 "Has anyone had a Nissen fundoplication procedure done to stop gerd? Is it worth it? Was..." + (show)
Profile picture for debra54 @debra54

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.

Jump to this post

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.

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debra54 | @debra54 | Jun 7, 2023
In reply to @debra54 "Has anyone had a Nissen fundoplication procedure done to stop gerd? Is it worth it? Was..." + (show)
Profile picture for debra54 @debra54

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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Any info on the POEM procedure?

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jackielb | @jackielb | Jun 7, 2023
In reply to @pdilly "I’m 72. Let severe heartburn and reflux to the point of throwing up every night go..." + (show)
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I’m 72. Let severe heartburn and reflux to the point of throwing up every night go untreated for about 20 years. (No commercials about it back then — just thought I had to live with it and ate Tums constantly. )

Finally went to a wonderful gastroenterologist who diagnosed GERD and Barrett’s esophagus. Been taking prevacid for about 25 years for acid reflux — 30mg in morning and 30mg at night. I’m so thankful for that drug because acid reflux is so painful l!

Had Nissen fundiplication surgery about 7 years ago when I was hospitalized for something else and a scan showed that about 1/3 of my stomach was in my esophagus!

Nissan fundiplication was very successful — great surgeon. I remember choosing it over the LINX procedure after researching.

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Who was your doctor?

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pdilly | @pdilly | Jun 7, 2023
In reply to @jackielb "Who was your doctor?" + (show)
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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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dragnwc19 | @dragnwc19 | Aug 15, 2023
In reply to @debra54 "Has anyone had a Nissen fundoplication procedure done to stop gerd? Is it worth it? Was..." + (show)
Profile picture for debra54 @debra54

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.

Jump to this post

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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1 reply
Profile picture for Justin McClanahan, Moderator
Moderator
Justin McClanahan, Moderator | @JustinMcClanahan | Aug 16, 2023
In reply to @debra54 "Has anyone had a Nissen fundoplication procedure done to stop gerd? Is it worth it? Was..." + (show)
Profile picture for debra54 @debra54

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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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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dragnwc19 | @dragnwc19 | Aug 16, 2023
In reply to @JustinMcClanahan "Hi @dragnwc19. You many notice I moved your discussion and combined it with an existing discussion..." + (show)
Profile picture for Justin McClanahan, Moderator @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?

Jump to this post

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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