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!

@riflemanz64

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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New to this forum. My husband suffers from Achalasia and along with it the tremendous chest pain. I read your post about diet and have a question. Did you suffer from the chest pain in addition to the reflux/GERD? If yes, did this change in your diet also relieve the chest pains which are a result of the spasming?

For any others on this forum, do you experience the tremendous chest pains and have you found any therapy/lifestyle change that has lessened or alleviated the pain? Possibly accupuncture? Thank you for your response!

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@riflemanz64

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

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@riflemanz64 Not sure who you were asking the question, but I certainly am very strict with that part of my diet… that is No carbonated beverages … and booze only on extremely rare occasions… I can usually get away with no effects when only 1…diluted ..

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Don't do it! My life has been miserable since having the Nissen in 2013, then the Toupet in 2015. I was better off before. I can't eat much (one bite too many is pure Hell), can't swallow well (dysphagia), can't throw up (dry heaves only), positional pains (cannot be on hands & knees to where stomach hangs… sooo much pain). Now I have another hernia that pops out under my ribs, both sides. Surgeon now refuses to "go in there where so many other surgeons have been." They took too much fundus. Also too full of adhesions. Sometimes I wish I would just die. Very sorry I listened to general surgeon instead of a gastric specialist.

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Listen to your comments don’t do it. I had that surgery and 3 more surgery now waiting to have revisions of then total gastrectomy mesh removal and gosh only know what else. This has been a nightmare for over twenty years. Wish you nothing but the best..

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@aliceorangebike It was 2015 when I had a botched Nissen at my local clinic/hospital… 2 months later I had lost 50 pounds .. had been in hospital 9 days.. and countless tests.. a disaster.. My primary care physician referred me to Mayo MN.. they figured out in a day what was wrong… post operative gastroparesis … Not fixable.. Nerves in the hairnet like system around the stomach were damaged.. Mayo GI told me 1 in 6 Nissens fail.. .. Having a general surgeon is a invitation to misery….. Get a second opinion from a credible GI surgeon.. Ken

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I have Gerd also. Never would I allow surgery. I have not heard of it going well. Yes there are restrictions or habit changes one must follow, and there are more things you can find on your own. Everyone is different, for me ,what helps is I make sure I take gas x when I eat a meal,I use a good probiotic when I go to bed at night and what I just started taking is O Mega XL. It really helps. OMega XL has good fatty acids which neutralizes the acid in your body. Of course I take prescription propranonolol to relax chest mucels. Whatcha what you eat and drink,do not smoke and your life will be better so much better. My Gerd started from a hernia patch placed in my stomach. Everyone stay positive!

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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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I also had the surgery and it is absolutely the worse decision i have ever made. I have had nothing but problems with it. I'm having problems eating and am just measurable with it. I have lost 34 pounds in a months and for sure didn't need to. I am now a size 4..

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I had laparoscopic Hiatal Hernia repair and Toupet 270 degree fundoplication surgery in May of 2020. It was life changing for me! I wish I had been able to do it sooner. First of all the hernia repair corrected a large hernia that was causing a great deal of random pain by allowing my stomach to enter my diaphragm. Secondly the Toupet fundoplication resolved all of my acid reflux problem so that I no longer must take Omeprazole or any type of antacid I can eat normally. I have no issues swallowing or burping which can be a problem with a traditional 365 degree wrap. I am very grateful to Dr. Cobb for the time he took to explain everything and answer my questions and for his skillful intervention. https://www.clemson.edu/health-research/faculty/clinical-professors/cobb.html

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@2longlife

I had laparoscopic Hiatal Hernia repair and Toupet 270 degree fundoplication surgery in May of 2020. It was life changing for me! I wish I had been able to do it sooner. First of all the hernia repair corrected a large hernia that was causing a great deal of random pain by allowing my stomach to enter my diaphragm. Secondly the Toupet fundoplication resolved all of my acid reflux problem so that I no longer must take Omeprazole or any type of antacid I can eat normally. I have no issues swallowing or burping which can be a problem with a traditional 365 degree wrap. I am very grateful to Dr. Cobb for the time he took to explain everything and answer my questions and for his skillful intervention. https://www.clemson.edu/health-research/faculty/clinical-professors/cobb.html

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Hello, with the Toupet Fundoplication were your results immediate? Did your reflux get resolved immediately after the surgery or was it a gradual change?

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@pinedaglenda29

Hello, with the Toupet Fundoplication were your results immediate? Did your reflux get resolved immediately after the surgery or was it a gradual change?

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It was immediate. Initially I was on easy to swallow soft foods then gradually added more substantial foods. Swallowing normally was a gradual process over a few weeks but elimination of acid reflux was immediate. I never took another ant acid from the day day before surgery through the present

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I’ve had Chronic Gastritis and Esphogitis and Class B GERD , 1000’s of belches a day and night , small hiatal hernia . I saw a surgeon about this since a friend had it done ✅. When I found out I could no longer get all these 1000’s of deep wet belches out from a non stop churning gut daily . I was scared . I also heard you can’t throw up ( which I rarely do ), but that scared me too .
I think it’s a personal choice . It’s not for everyone as you read .
I finally after 5 Gastro Dr’s and so many tests in 8 years and living a crappy life since this started will have televisit w/ Mayo Clinic Jacksonville Dr on Sept 5 th .
I’m sure they will want to re so many tests up there but this is the end of the road for me . Best of luck, keep us posted what you wind up doing @aliceorangebike !

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