Surgery for GERD

Posted by aliceorangebike @aliceorangebike, Dec 18, 2020

<p>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!</p>

@bevlynn54

Male/female? Age? How long ago?

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Hi @bevlynn54 and welcome to Mayo Clinic Connect. You will see that I moved your post to a conversation about surgery for GERD it discusses multiple different surgeries.

Here is some info you may be interested in. Magnetic Sphincter Augmentation for Gastroesophageal Reflux at 5 Years: Final Results of a Pilot Study Show Long-Term Acid Reduction and Symptom Improvement: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4624249/ —————–
A Modern Magnetic Implant for Gastroesophageal Reflux Disease: https://pubmed.ncbi.nlm.nih.gov/28025156/ ——————
2012 – Mayo Clinic Offers Newly Approved Treatment for Acid Reflux: https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-offers-newly-approved-treatment-for-acid-reflux-disease/ ——————TUESDAY Q & A: New treatment may be option for those with GERD: https://newsnetwork.mayoclinic.org/discussion/tuesday-q-a-new-treatment-may-be-option-for-those-with-gerd/

Would you be willing to share more of your story and what is going on with you? You tend to get a better response the more detail you provide about your situation.

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Just in the beginning phase of looking into it – the doctor here has not done any, although he has been trained. Just a little nervous about the process, and healing. I’ve had reflux issues for years. I’m 67 years old. Tired of taking pills.

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@bevlynn54

Just in the beginning phase of looking into it – the doctor here has not done any, although he has been trained. Just a little nervous about the process, and healing. I’ve had reflux issues for years. I’m 67 years old. Tired of taking pills.

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I bet you are! I would like to introduce you to @ken82, @dannyl, and @rozy288 who have also discussed their GERD here.
Personally, given what others have shared, I would steer clear of surgeons who have never done the procedure. The ramifications can be very detrimental.
Have you looked at any other surgery besides Linx?

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@bevlynn54

Male/female? Age? How long ago?

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Female and had surgery in 2014

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@amandaburnett

I bet you are! I would like to introduce you to @ken82, @dannyl, and @rozy288 who have also discussed their GERD here.
Personally, given what others have shared, I would steer clear of surgeons who have never done the procedure. The ramifications can be very detrimental.
Have you looked at any other surgery besides Linx?

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We talked about what could be done – hiatal hernia, also. I trust this dr. But just want to see what the “residuals” are afterward. I’ve seen a lot about trouble swallowing, and that petrifies me. We are in south MS, and he is with the Memorial Hospital at Gulfport. Dr. Derek Ware.

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@saucy

Female and had surgery in 2014

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Has it been a good thing?

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I’ve written about his before if you look under the Linx thread. I had problems until I had it enlarged. Food can get stuck and cause bad chest pain and need to bend over to burp to relieve it. It is doing the job of keeping acid down but still had to take anti acid pills after surgery until I finally figured out I had a fructose intolerance. Mayo checked me for that prior to surgery but once I got off all fruit, sugars, and wheat, I never took a med again. It also got rid of many other ailments I had. Acid reflux can be controlled by diet but my esophagus was damaged from having 10 pound babies.

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@ken82

I had a Nissen surgery at a local hospital in Central Iowa that was supposed to fix my GERD problem.. It was botched.. the GERD got worse. 1 in 6 Nissens fail.. my Mayo GI doc told me.. I had post operative Gastroparesis… Mayo gave me the way to cope with this NON fixable proplem.. See a really good surgeon who has done hundreds.. Do your homework or you will be afflicted the rest of your life.. Ken

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This is great advice to everyone even considering a Nissen.

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Lost 40 lbs, had issues for 2 1/2 years. Started with pain upper GI under breastbones and in middle where the xiphoid process is and hiatal hernia is. Any time I eat something like veggie or something gassy, i have pain in the middle and bloating on left and right sides under rib cage. hundreds of tests done and they tell me take my gallbladder out as I have gallstones. But, I know bloating and pain in that are is not just because of gallbladder. When walking fast or bending over that area hurts. Sometimes I cannot even wash dishes while bending little over sink. My throat feels inflamed mostly on right side. No one knows what is wrong. All tests negative. I know I have LPR as throat gets burning and inflamed and red sometimes. I can hear gurgling noises in my throat and esaphegus and stomach. Now, I just drink Kate Farms 1.0 regular shakes twice a day and some soup and gluten free breads and no diary. Try to chew my food 20 times before I swallow (even eggs or avocado). I don't eat sugar, alcohol, coffee, chocolates any red sauces, any oily food any rough food like crackers. I eat olive oil only. And take Papaya Enzymes and DGL and Mylanta when I feel really bad pain. Just diet and eating little at a time will cure you. It takes long time, but don't need surgery. I have hiatal hernia 2 cm but drs say lot of people have it and don't know. So, pain is not from hernia.

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@bevlynn54

Just in the beginning phase of looking into it – the doctor here has not done any, although he has been trained. Just a little nervous about the process, and healing. I’ve had reflux issues for years. I’m 67 years old. Tired of taking pills.

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Have your doctor test you for low acid in your stomach!! It has the same symptoms as GERD and is often over looked. All of the pills that you have been taking could be making things worse. I had a NF 5 years ago and I would never recommend it to any one and I had a great surgeon. Come to find out my sister, mom and niece have low acid and were suffering with acid reflux, until they found out they had low acid and are being treated correctly. I wish I would have known about this 5 years ago.

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I had a hernia repair and LINX in September 2018 and have had no problem since. I do not take any antacids or any medications. Check out Dr. Lipham at USC. I was having acid reflux 84 times a day.

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@evanssandy34

Have your doctor test you for low acid in your stomach!! It has the same symptoms as GERD and is often over looked. All of the pills that you have been taking could be making things worse. I had a NF 5 years ago and I would never recommend it to any one and I had a great surgeon. Come to find out my sister, mom and niece have low acid and were suffering with acid reflux, until they found out they had low acid and are being treated correctly. I wish I would have known about this 5 years ago.

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What does NF stand for? I'll be having my first consultation with a specialist surgeon for my diagnosis of achalasia type 111 next week. I have no idea of what he may want to do as far as a specific procedure for this affliction. I just know that I want these uncomfortable symptoms gone. I have lost a tremendous amount of weight over this. The one procedure that stands out for me would to possibly have the (POEM) procedure done. Then you just need to take a pill a day for the rest of my life. This procedure compared to the other two I read about, seems better in the long run. The other two sound rather iffy as far as long term results.

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