Reversal of Nissen Fundoplication

Posted by myskye @myskye, Oct 18, 2016

I had a Nissen Fundoplication procedure done last Oct. I have not have success with it at all. The wrap was to tight and I have to have a dilation done almost every two months. I am looking at have a reversal done and wonder if anyone has had this done and if so, did things improve Thank You

@katmandoo

I had one dilation but still have problems but not as bad as yours. Wish I had never had it done. I still can’t vomit if I need to just dry heaves. Miserable!

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I have not spoken to the doctor yet. i did talk to my GI doctor and he said the prognosis of low grade barrett’s dysplasia was correct. So if i get this undone then i have have to still deal with massive amounts of antacids as well as a possible RFA (radio frequency ablation) of the questionable bad cells in the esophagus. The RFA is painful as well as a lot of swelling of the tissue, which means liquid diet again. i have to address my other problems of my stenosis from C3-C7 in my neck as well as L4-L5 in my back. I did not get this procedure at the right time. i only hope that things settle down in the esophagus for now. Today is 117 days after the fundo….kozlo52

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@katmandoo

I had one dilation but still have problems but not as bad as yours. Wish I had never had it done. I still can’t vomit if I need to just dry heaves. Miserable!

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I did review your referenced website for the older discussions. Now i have tried something different for my RA and back/neck pain. Advil makes an enteric coated 200 mg ibuprofen that is designed to be absorbed thru the small intestine. It is a brown coated pill. i have talked to the advil people and that is what they told me. Well after 2 hours i still got heartburn. How is this possible since it is dseigned to breakdown in the small iintestine? Since my wrap is good according to the surgeon, why am i still getting heartburn? I am on 30 mg x2 of prevacid; 1000mg sulcrafate x4. i will get back to the surgeon again., but are there any ideas? Personally either the hiatal is not really fixed or the vegus nerve has been disturbed? What procedure would could be used to verify vegus nerve is still ok?… thank you…kozlo52

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@katmandoo

I had one dilation but still have problems but not as bad as yours. Wish I had never had it done. I still can’t vomit if I need to just dry heaves. Miserable!

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@kozlo52 I’m so sorry that you continue to have heartburn issues after surgery, especially while juggling additional medical stuff. I have been fortunate and haven’t had any heartburn post nissen fundoplication surgery (10/18/2016 at Mayo), and I have had the post-surgery testing to check my wrap. Post-surgery, to check the status of the wrap and the hernia, what kind of testing did they do… esophagram?

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@katmandoo

I had one dilation but still have problems but not as bad as yours. Wish I had never had it done. I still can’t vomit if I need to just dry heaves. Miserable!

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Kelly , i really don’t know what they did to verify the status of the wrap and hernia. We were told by the surgeon that everrything went well and was ok. But i will ask them about the esophagram to verify wrap and hiatal hernia integrity…..don’t forget i kave RA and even though i take my NSAID Mobic, i still get heartburn 7 hours later. They tell me this is due to the pill hitting some of the upper esophagus muscles on the way down and aggravates a burn. i don’t believe it. Thanks for the advice…..kozlo52

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@katmandoo

I had one dilation but still have problems but not as bad as yours. Wish I had never had it done. I still can’t vomit if I need to just dry heaves. Miserable!

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Immediately after my surgery, while I was still unconscious, Mayo did some imaging on me to check the wrap… BUT a month or so after my surgery, my Mayo doctors ordered another esophagram (just like the one I had pre-surgery) to check the wrap and to see how everything was functioning. If you haven’t had one post-surgery and are still having heartburn issues, I would definitely ask.

Something’s awry if you are experiencing heartburn no matter what else you are taking. Daily, I take a pill at 8:00 a.m., another at noon, two at 5:00 p.m., and I take other pills as needed, and I don’t have any heartburn.

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@katmandoo

I had one dilation but still have problems but not as bad as yours. Wish I had never had it done. I still can’t vomit if I need to just dry heaves. Miserable!

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I have taken 2 prevacid daily for years to help control my Barretts Esophagus. I continued to take them after my wrap;. The new surgeon that i saw last week that is going to attempt to fix my wrap said that i should not have to take any meds, he explained that because the wrap prevents acid from going back through the esophagus, no meds are needed. I have stopped and will havwait two weeks to see if i still experience reflux, if i do, he says that besides my wrap being to tight, it would also be to loose at some point and he will have to fix that also. 🙁

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@katmandoo

I had one dilation but still have problems but not as bad as yours. Wish I had never had it done. I still can’t vomit if I need to just dry heaves. Miserable!

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I hope he is right. I was instructed a week ago to go back on my maximum dose of 30 mg prevacid x2 /day as well as 1000 mg of sulcrafate x4 /day. So far it doesn’t seem to work very well. For example , my 65th birthday was yesterday. and i had 2 small pieces of cake with my ensure. I also earlier in the day took 1 15 mg of mobic (NSAID) for my head neck back and other RA pain. I got severe heartburn from 1 pm onward into the night. Again Why? My wrap was told to be very good, but I had 2 follow up dilations. Where is the heartburn coming from. It’s been 121 days since the Fundo and hiatal hernia. Good luck with your new surgery and let me know how it works for you. By the way eating a n iced cake is very trickey and one must chew bery well as wash it down with lactaid milk ( I’m lactose intolerant)……..kozlo52

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has anyone out there had a360 degree nissen fundoplication and then began developing oral thrush on their tongue and possibly throat? I’ve been battling oral thrush for 10 months since my operation and alll i am being given is nystatin for swish swallow and spit. This stuff is terrible to swallow. I’m still battling what i feel is heartburn after eating. The original thoracic surgeon wants me to have another 48 hr bravo test. The esophagael monometry test done after the surgery indicates that the wrap may still be too tight. I cannot make the link between the wrap being too tight and the heartburn sensation, which the surgeons don’t seem to explain well. Antacids don’t seem to help. Any insights would be helpful….kozlo52

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I’ve not had your surgery, but I’ve had a problem with thrush of the throat and mouth recently. My ENT physician said to increase my water intake to 64-80 oz. a day and I should not have to worry about recurrence of thrush. I think this is good advice so am letting you know as drinking more may help your recurring thrush. I agree the Nystatin is pretty tough to swallow. It does provide relief of symptoms so I really appreciate it. Gail B. Ledesma

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@gailb

I’ve not had your surgery, but I’ve had a problem with thrush of the throat and mouth recently. My ENT physician said to increase my water intake to 64-80 oz. a day and I should not have to worry about recurrence of thrush. I think this is good advice so am letting you know as drinking more may help your recurring thrush. I agree the Nystatin is pretty tough to swallow. It does provide relief of symptoms so I really appreciate it. Gail B. Ledesma

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Thank ypu for your advice. I’m on 4 mg prednisone for my rheumatoid arthritis and as long as i take any starch or sugar the thrush will form on the tongue. A quickie fix is to take about 20% hydrogen proxide and 80 % water and shake well in a bottle. Then take a paper towel wetted with this mix and scrub the surface of the tongue to get rid of the thrush. Then take a dry paper towel and dry the tongue. Then you will see the thrush rubbed off the tongue. But the back part of the tongue you don’t know. If you try to gargle with this mix it will burn your throat. Thrush is a fungus. Are you on any steroid that might be causing this?… thanks….kozlo52

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@gailb

I’ve not had your surgery, but I’ve had a problem with thrush of the throat and mouth recently. My ENT physician said to increase my water intake to 64-80 oz. a day and I should not have to worry about recurrence of thrush. I think this is good advice so am letting you know as drinking more may help your recurring thrush. I agree the Nystatin is pretty tough to swallow. It does provide relief of symptoms so I really appreciate it. Gail B. Ledesma

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Hi @kozlo52, not from a nissen, but @rhodan97 has been battling reoccurring thrush. @rhodan97, do you have any insights that you can share?

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I have just had it done. 8weeks ago. Still a bit of trouble swallowing but wondering if you suffered any Diarrhea symptoms at all?

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