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A 35-year-old member asked:

is it common for gerd to get worse after a nissen surgery before it gets better?

3 doctor answers11 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
No.: The most common manifestation of gerd is heartburn:this should improve almost immediately after surgery and never get worse. Other symptoms such as difficulty swallowing (dysphagia) can temporarily worsen after surgery but not for more than a few weeks. Please let your surgeon know about these symptoms.
Dr. Jess Schwartz
Thoracic Surgery 28 years experience
I agree. The patient may precieve symptoms such as bloating or gas after a Nissen as the symptoms of persistant GERD but in fact these are different. Speak to your surgeon and raise your concerns. If you truly have recurrent symptoms/signs of reflux it may indicate a failure of the surgery such as a "slipped Nissen".
Dec 31, 2011
Dr. Eric Toloza
Thoracic Surgery 30 years experience
No: Usually gerd should get better after surgery, but the nissen only works after you eat ... With an empty stomach, the gerd would be the same ...
Dr. Stephen Archer
Bariatrics 30 years experience
Not usually: Classic gerd symptoms like heartburn usually improve immediately. However with the swelling some symptoms are made worse like trouble swallowing. This usually improves in a few weeks.
Dr. Craig Carter
Thoracic Surgery 40 years experience
Not all surgical procedures work as planned. If your symptoms continue, you should be checked by your surgeon.
Oct 18, 2013

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