Well, my physician has finally said, you don't respond to PPIs and have Bile Reflux so it may be surgery time. I've been begging for nissen for three years, now I'm nervous as sin. Will it really help reflux, and reduce cancer risk?

Possibly . postprandial bile reflux is blocked by fundoplication but not by PPIs which can only block resting bile reflux. Make sure you consult with a gastroenterologist at an academic center because further trials are needed to support the growing belief surgery may reduce cancer risk. Radio frequency ablation and other therapies based on biopsy http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016471/