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Toupet Fundoplication post op problem
I am four weeks post and was doing very well advancing my diet. I was even able to eat some chicken in very small bites. The last few days it seems my progress is going backwards. I have been drinking more of the meal replacement shakes because I am struggling to swallow anything. Today I tried to eat some scrambled eggs and after taking one small bite I can feel it stuck at the bottom of my throat. I contacted my surgeon and said just to continue drinking small sips and try to push the egg down and he will do a UGI study next week. Has anyone else experienced this? It’s very discouraging since I was doing so well.
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I had a 270 degree Toupet Fundoplication about three years ago. It was the best decision I ever made. I am able to eat normally, swallow normally, burp if necessary. I no longer have acid reflux or take medicine. I was concerned that I might not be able to vomit if I had to. That proved not true. At the same time I had a hiatal hernia corrected to prevent my stomach from entering my diaphragm.
I do remember very painful shoulders for about a day after surgery due to migration of the nitrogen gas that was used during surgery upward from the chest cavity. Eventually your body purges it. The slow advance from eating small soft foods to normal foods was not a problem. Again I am so very happy I did it.
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1 ReactionHence, the decision to have surgery. I ain’t gonna lie. The last two weeks have been rough. My follow-up post- op appt. is tomorrow. We live 3 hrs. from Duke and these last 2 weeks I have lived in the bathroom. I will be rescheduling my appt. this morning.
Just be sure to eat small meals often. I am on an 10, 10, 10, day schedule .
1st 10 days, liquids only including yogurt (which for me means protein shakes, smoothies (no fruit with pulp. We’ve been doing bananas & frozen peaches, etc., with milk or yogurt.) Second 10 days (which is where I am now) soft foods. I had a scrambled egg yesterday! Be sure to take small bites. It’s important.
I am allowed to take Imodium but not frequently. Don’t want to get constipated!
Today is a new day. When I can string 2-3 good days together I’ll feel like there’s been progress.
I will get back in touch soon. I hope this helps, but everyone’s situation is different. Stay in touch.
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2 ReactionsHi- I had my Toupet Fundoplication 2 weeks ago today @ Duke University Medical Center. It was a great choice. Duke is amazing.
The reason I had the procedure was due to on going chronic lung disease. Pulmonologist & Gastroenterologist have figured out the lung/ esophageal/ GERD connection. I have been sick for mostly 3 years & getting worse every year. In Jan., 2025 I had an EDG that found a Grade 3 sliding hernia. It would slide up my weakened esophageal sphincter into my chest. As a result, microscopic pieces of undigested food were doing more damage to my lungs.
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2 ReactionsThanks so much!
Hello .everyone ; I scheduled a toupet fundoplication next month for my GERD / severe esophagitis. I must admit I’m quite apprehensive about the procedure. Is anyone willing to talk about how things are going ? Apparently having difficulty swallowing, ongoing diarrhea and bloating are quite common . I’d appreciate your experiences to get a better idea what awaits me . Than you , John
Hi, @jmedj55 - just wanted to let you know I moved your post on Toupet fundoplication here so you could connect with others who have had this same procedure. I'd like to tag @nikki0120 @uzi @rozy288 @klelebub75 @stoclady @mpool @jazzgirl to share about their research on this procedure and/or their experiences having it.
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1 ReactionHi @jmedj55. I went to the Digestive Health Support Group home page and searched for toupee fundoplication. It looks like there are a few other discussion you might review as you wait for others to comment here.
- Toupet fundoclication discussions: https://connect.mayoclinic.org/group/digestive-gastrointestinal-problems/?search=Toupet%20fundoplication&index=discussions
It may help others know how to comment if you are comfortable sharing more about your journey. What brought you to this decision, how are you hoping it will improve your day-to-day? Why did you opt for toupet instead of Nissan fundoplication?
Hi @klelebub75, and welcome to Mayo Clinic Connect! I am tagging you both to ensure you receive emails. I love hearing a success story like @stoclady’s, what an awesome update. So glad you connected!
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1 ReactionI am fantastic. I feel good no heart burn but due to familiar history I do have to take omeprazole.
I can also eat meat and bread after the first 7 months. I am sure he told you to take small bites and chew often. Also , keep the nausea medicine at hand in case you get nauseous. I did have a mesh implant over my stomach opening. You might not have. Good Luck on your journey if you need anything let's find a way to keep in touch
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2 ReactionsI just found this Mayo Chat when I looked up the Toupet Fundoplication What great info to have. Looks like you are a year+ out. You might have moved on with life but if you see this, I would appreciate you writing back to tell me how you are doing. I had my surgery on 7-29-25, so I am only in the beginning of my journey.
Thank you.
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