11 doctors weighed in:
Is it common for GERD to get worse after a nissen surgery before it gets better?
11 doctors weighed in

Dr. Stephen Archer
Bariatrics
3 doctors agree
In brief: 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.

In brief: 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. Stephen Archer
Dr. Stephen Archer
Thank
1 comment
Dr. Craig Carter
Not all surgical procedures work as planned. If your symptoms continue, you should be checked by your surgeon.
Dr. Eric Toloza
Surgery - Thoracic
3 doctors agree
In brief: 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 ...

In brief: 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. Eric Toloza
Dr. Eric Toloza
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Dr. Barry Rosen
Surgery
3 doctors agree
In brief: 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.

In brief: 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. Barry Rosen
Dr. Barry Rosen
Thank
1 comment
Dr. Jess Schwartz
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".
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