Doctor insights on:
Is It Common For Gerd To Get Worse After A Nissen Surgery Before It Gets Better
I'm 23,never had gerd symptoms before my hiatal-hernia, I was wondering if I can get hernia surgery without fundoplication? Worried about side effects
No surgery: 90-95 % of people with GERD get better with medication. surgery reserved to a very small section of people . yes you can have a hiatal hernia surgery without the fundoplication, but that will not stop the efflux in any way. try to get the best medical treatment before start thinking about surgery. ...Read more
I would like to ask if "cardiac like" chest pains after Nissen lFundiplication is normal? The surgery has not resolved this GERD symptom.
Chest pain: If you have had recent cardiac care I recommend that you immediately see your doctor or go the Emergency Room now. You may turn out to have nothing major but you cannot take chances ...Read more
Bypass & Nissen : Doing a bypass after having a nissen is very difficult and considered revisional surgery. Lots of scar tissue from the nissen and your wrap must be undone. Risks of complications like a leak are much higher. Doesn't mean you shouldn't have a bypass. I have done many of these. You just need to go to an experienced surgeon that does revisional bypass surgery. ...Read more
Possibly: Many people with reflux have their worst problems at night when laying flat; sleeping more upright with pillows or even putting the head of the bed elevated on blocks can help. If the reflux is unresponsive to maximal medical management, surgery is an option. I strongly advise you to have a 24 hr pH study to objectively measure what is happening when you sleep before considering surgery. ...Read moreSee 1 more doctor answer
I have severe gerd, uncontrolled by prescription + diet, causing crippling laryngitis for over a year. Should I consider fundoplication? This surgery scares me.
Yes you should.: Patients with severe gerd with extra-esophageal manifestations not responding to intensive medical therapy and lifestyle changes should be considered for nissen fundoplication. In our days it is done laparoscopically and in good hands the surgery is safe and effective. I have good success rates with my patients who failed high dose ppis. ...Read moreSee 2 more doctor answers
Making better valve: ... To keep stomach acid in stomach. The most common operation for gastroesophageal reflux (ger) performed in the us is a fundoplication in which the top of the stomach (fundus) is plicated or wrapped around the bottom of the swallowing tube (esophagus) to make a better valve there. It can either be a full- or partial-wrap. The operation can be done openly or laparoscopically. ...Read more
EARLY or LATE?: Early complications include injury to the stomach, esophagus, or adjacent organs (spleen). Late complications may be due to the wrap being too tight (difficulty swallowing, gas-bloat syndrome) or too loose (persistent reflux). Rarely, nerve injury can lead to diarrhea and/or poor emptying of the stomach. ...Read moreSee 2 more doctor answers
Very bad.: I advise my patients that the surgical treatment for gerd is not for the "casual refluxer". The surgery changes the way that your stomach processes food and is really only a "band-aid" procedure, in that it does not correct the physiologic abnormality that causes reflux. However, if your quality of life is significantly affected by gerd and meds do not control your symptoms, it is a good option. ...Read moreSee 1 more doctor answer
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