Toupet Fundoplication Surgery for GERD

Posted by aliceorangebike @aliceorangebike, Dec 18, 2020

I am considering having surgery to resolve my terrible GERD problems. Toupet fundoplication has been recommended for me but it wraps around only 75% of the lower esophageal sphincter (LES). Has anyone had this surgery? Did it resolve your severe GERD problems? Do you still need to take Proton Pump Inhibitor medication? Thanks for your input!

@aliceorangebike Welcome to Mayo Clinic Connect. You are considering having surgery for GERD, specifically toupet fundoplication. You are looking to connect with members that have experience with this topic.

You will notice I changed the title of the question slightly. I did this so you could more quickly connect with members.

Members like @jons @contentandwell @robbie1956 @danab @astaingegerdm @dvdhoover @robbie1956 @fourof5zs @jenniferb @margaretmary @dstb83bb have experience with the topic of GERD and may be able to help answer your question.

Below I have linked two previous discussions related to Gerd. You may want to scroll through the posts in these discussions and read previously suggestions.

– Ectopic heart episodes and GERD, acid indigestion issues https://connect.mayoclinic.org/discussion/ectopic-episodes-and-a-bedtime-dose-of-an-acid-indigestion-liquid/
– GERD https://connect.mayoclinic.org/discussion/gerd-4/
– POEM Surgery for Achalasia https://connect.mayoclinic.org/discussion/two-months-after-poem-surgery-for-achalasia/

May I ask what types of treatment you have already had related to GERD?

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@aliceorangebike Hi Alice I do have Gerd but at least for the moment it's well controlled with Omeprazole. But I can relate I had a pretty bad issue with inflammation in my intestines jun of 2019. Sorry but can't help with that surgery. If I can help any other way please let me know. Going thru that issue a year ago i can say it's not fun and I wish you good luck with your decision. By chance are you being seen at a Mayo facility? I have had great experience with them.
Have a Blessed Day
Dana

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While I had a Nissen to reduce my GERD problems ..mine failed..and the Gastropaneisis problems are 100 times worse than GERD..try anything to reduce GERD by your eating habits ..than trying to solve the problem with surgery…the 1 in 6 failure is toooooo high..ken

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Are you strict with your diet? No soda, No booze!

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Please do not get the Nissen Fundoplication. It was the worst decision of my life. Please try a holistic medicine expert to help you with your diet. There is no turning back if it doesn’t work and there are numerous side effects/complications the surgeons don’t tell you.

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@lceresi

Please do not get the Nissen Fundoplication. It was the worst decision of my life. Please try a holistic medicine expert to help you with your diet. There is no turning back if it doesn’t work and there are numerous side effects/complications the surgeons don’t tell you.

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@iceresi @aliceorangebike I'll certainly agree with that.

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@erikas

@aliceorangebike Welcome to Mayo Clinic Connect. You are considering having surgery for GERD, specifically toupet fundoplication. You are looking to connect with members that have experience with this topic.

You will notice I changed the title of the question slightly. I did this so you could more quickly connect with members.

Members like @jons @contentandwell @robbie1956 @danab @astaingegerdm @dvdhoover @robbie1956 @fourof5zs @jenniferb @margaretmary @dstb83bb have experience with the topic of GERD and may be able to help answer your question.

Below I have linked two previous discussions related to Gerd. You may want to scroll through the posts in these discussions and read previously suggestions.

– Ectopic heart episodes and GERD, acid indigestion issues https://connect.mayoclinic.org/discussion/ectopic-episodes-and-a-bedtime-dose-of-an-acid-indigestion-liquid/
– GERD https://connect.mayoclinic.org/discussion/gerd-4/
– POEM Surgery for Achalasia https://connect.mayoclinic.org/discussion/two-months-after-poem-surgery-for-achalasia/

May I ask what types of treatment you have already had related to GERD?

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I have been taking maximum doses of prescription strength PPIs for many years, strictly following the GERD diet, consulted with Gastroenterolgists, a swallowing and esophagus expert, and took all the diagnostic tests prior to meeting with a surgeon.

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@riflemanz64

Are you strict with your diet? No soda, No booze!

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Yes! For the past 3 years I’ve followed the GERD diet strictly.

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In 2012 my husband went to the Mayo Clinic in Jacksonville and had the Linx surgery for acid reflux and gerd. It has been very successful. He takes no medicine and had no problems from the procedure. They place a titanium braclet around the lower esophagus that opens to let food in, but won't let food come back out. There was some initial adjustment to what to eat first to get the device working, but no other issues. However, while at the Mayo he was diagnosed with pulmonary fibrosis. So, sadly we are dealing with that now. We are just trying to enjoy each day as a gift. But the Linx system is the way to go if you have acid reflux. And there is the possibility that the acid aspirated into his lungs and contributed to his pulmonary fibrosis. So don't play around if you have serious acid reflux.

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Please look into the Linx procedure first. It has a very high success rate and usually requires no medication afterwards. My husband had the Linx surgery eight years ago and has done beautifully. No problems with gerd since then.

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aliceorangebike, please investigate thiamine's role in the GI system and with the vagus nerve and a thiamine deficiency connection to GERD. Benfotiamine is a fat soluble form of thiamine that passes through the blood/brain barrier more effectively and longer lasting than water soluble forms requiring magnesium activation.There are good youtube thiamine videos concening the digestive system in addition the body in general.
https://www.eonutrition.co.uk/post/thiamine-deficiency-a-major-cause-of-sibo

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@aliceorangebike

Yes! For the past 3 years I’ve followed the GERD diet strictly.

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Have you had an EGD to see if there is Barrett's? I got Barrett's from acid reflux. Here is what I did for it and no longer have any sign Barrett's. Raise the head of your bed 6". Stop eating 3-4 hrs before bedtime. No fried foods or fatty foods. Limit processed meats and food. No eating out. No smoking. No vinegar based products. No fruit juices. The only drinks I have are water, unsweetened almond milk which is alkaline, decaffeinated green tea, low acid healthwise coffee with almond milk as a creamer. I use no pepper or spices.No chocolate or mint. Pink himalayan salt is ok. Baked fish is good and chicken breast no skin. Steamed broccoli, spinach, brussel sprouts, cauliflower are good. I have a fruit smoothie everyday which is a banana, blueberries, raspberries, and almond milk which neutralizes the acid of the berries.
Mixed melon chunks are good too. I bought the book "The acid watcher diet" which has a 28 day reflux prevention and healing program.
I would try it before having surgery. Good luck trying to prevent reflux.

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