Heartburn Support - Nissen Fundoplication Reverse

Author

Nissen Fundoplication Reverse

In Pain

2005-04-25, 11:47 am

Cannot find information on reversing this operation.I know that it
physically CAN be done, but there is no information on the web discussing
it. I had it done a little over a year ago, and am usually DYING of gas
because of it. I can burp, just not very easy, and sometimes it won't come.
Still have bad acid pains behind chest, but none coming all the way up
anymore (which never really bothered as much as the gas). Didn't have any
problems such as barretts or anything like that. Age, 33, male.

I think this surgery was a mistake. Still take prescribed prilosec every
day, still have acid pains. The gas get debilitating. Even have set up FMLA
with employer, because at times I feel so bad that I cannot make it in.

Is there a good chance the 'wrap' will fail anyway? Are there cases when
it's undone?

Tim J.

2005-04-25, 5:48 pm

On Mon, 25 Apr 2005 11:49:50 -0400, "In Pain" <noone@nowhere.com>
wrote:

>Cannot find information on reversing this operation.I know that it
>physically CAN be done, but there is no information on the web discussing
>it. I had it done a little over a year ago, and am usually DYING of gas
>because of it. I can burp, just not very easy, and sometimes it won't come.
>Still have bad acid pains behind chest, but none coming all the way up
>anymore (which never really bothered as much as the gas). Didn't have any
>problems such as barretts or anything like that. Age, 33, male.
>
>I think this surgery was a mistake. Still take prescribed prilosec every
>day, still have acid pains. The gas get debilitating. Even have set up FMLA
>with employer, because at times I feel so bad that I cannot make it in.
>
>Is there a good chance the 'wrap' will fail anyway? Are there cases when
>it's undone?
>

There are rare cases where it can fail, and yes, my doctor told me it
could be undone if my swallowing difficulties became intolerable. I
told him hell no, the swallowing difficulty on its worst day is FAR
better than the reflux was on its best day.

They can do a dilatation, where they insert (not trying to be gross
here) what looks to be a long, blue dildo down your throat to expand
the fundoplication. They do this under sedation. I'd try that route
before getting cut on again. Sorry your experience with the procedure
wasn't more beneficial. I used to have 100-200 reflux episodes per
day pre-surgery, but since the wrap in April, 1999, I haven't had one
single reflux episode. Perhaps you weren't a good candidate for the
procedure.

Howard McCollister

2005-04-25, 10:48 pm

Gas bloat can be a problem due to the increased air swallowing in reflux
patients, and the decreased abililty to belch. Usually, this goes away over
time, but may take months. Dilation, usually hydrostatic, is not an
unreasonable first step, but is not terribly successful in these cases.

Yes, the wrap can be taken down laparoscopically, but that is decidedly more
difficult than doing it in the first place and is the type of thing for
which you should seek a surgeon that is highly experienced. Usually, it's
not desireable to take the whole wrap down, just to undo the wrap and let
the plicated part of the stomach fall back to it's original position.

HMc

"Tim J." <tj66821@usa.not> wrote in message
news:3hqq61p02o6pmbj08givr94n9irbotvjh9@4ax.com...
> On Mon, 25 Apr 2005 11:49:50 -0400, "In Pain" <noone@nowhere.com>
> wrote:
>
>
> There are rare cases where it can fail, and yes, my doctor told me it
> could be undone if my swallowing difficulties became intolerable. I
> told him hell no, the swallowing difficulty on its worst day is FAR
> better than the reflux was on its best day.
>
> They can do a dilatation, where they insert (not trying to be gross
> here) what looks to be a long, blue dildo down your throat to expand
> the fundoplication. They do this under sedation. I'd try that route
> before getting cut on again. Sorry your experience with the procedure
> wasn't more beneficial. I used to have 100-200 reflux episodes per
> day pre-surgery, but since the wrap in April, 1999, I haven't had one
> single reflux episode. Perhaps you weren't a good candidate for the
> procedure.
>

Tim J.

2005-04-25, 10:48 pm

On 25 Apr 2005 21:32:03 -0500, "Howard McCollister"
<nospam@nospam.net> wrote:

>Gas bloat can be a problem due to the increased air swallowing in reflux
>patients, and the decreased abililty to belch.

Yeah, it was a problem for me for a while. Fortunately, the gas found
another opening to exit.;-)

R F

2005-04-26, 8:48 am

yes there is a cure. you will have to follow these steps exactly. 1st
there can be no soda or carbinated beverages in your stomach. if you
have been taking TUMS or ROLAIDS or any other candy like medication
stop imediatly, this will only make the acid worse. no alchohol or
tobacco can be used. especialy not wine. no canned fruit or fresh
fruit especialy not oranges or pineapple. no milk or beans this will
give you bloat and gas and worsen your condition.
you may eat 6 eggs for breakfast, over-easy with soft runny yolks, fried
in 3 strips of bacon with 2 or 3 peeled and sliced potatoes stir fried
in bacon fat... no toast, no coffee is permited.
for lunch eat 5 or 6 cotto salami sandwiches on white bread with the
crust trimed and margerine or mayonase. plus 2 or 3 ripe bananas.
remember no coffee tea or soft drinks! you will have to learn to
cook this soup for dinner. peel and quarter about 10 potatoes toss them
in a large pot, bring to boil. now stir fry 2 stalks of sliced celery
in a stick of butter and toss it in with the potatoes, add minced
garlic. now strir fry about 10 sliced carrots in a stick of butter and
toss them in the soup pot. the soup should be simmering. now toss a
cup or rice into the soup, cook it with the lid on. now stir a cup of
flower with 2 cups of water and throw that in the pot. let this simmer
for an hour. now add a can of corn, and a can of string beans, and a
can of peas. a hand full of salt and pepper and 3 bay leaves should
already be in it. keep adding water and stiring. it should cook for
about 2 hours. this should be enough soup to last you 3 or 4 days. and
you can take some to work in a RUBBERMAID thermose.
Dr. Bill

Richard Kaszeta

2005-04-26, 11:47 am

Tim J. <tj66821@usa.not> writes:
> There are rare cases where it can fail, and yes, my doctor told me it
> could be undone if my swallowing difficulties became intolerable. I
> told him hell no, the swallowing difficulty on its worst day is FAR
> better than the reflux was on its best day.

The severity of the swallowing difficulty depends on the tightness of
the wrap. For 4-6 weeks after my surgery, I had *severe* swallowing
difficulty, and in my case it was *way* worse than the the reflux; for
two weeks, anything more substantial than broth would often result in
massive muscular cramping followed by painful hiccuping and eventual
regurgitation. It was, literally, debilitating (nothing like being
curled up on the floor from violent hiccups and dry heaves), while my
reflux never hit that level of pain (but the swallowing difficulty was
an acute thing, whereas the GERD was miserably chronic).

It started to clear up right as they were considering dilation, and
I'm fine now, and glad I had it done. I believe they also discussed
possibly adjusting the wrap as well, but I don't recall the details 4
years down the road. But for a while after the surgery I was doubting
my decision...

--
Richard W Kaszeta
rich@kaszeta.org
http://www.kaszeta.org/rich

Tim J.

2005-04-26, 11:47 am

On 26 Apr 2005 10:43:42 -0500, Richard Kaszeta <rich@kaszeta.org>
wrote:

>Tim J. <tj66821@usa.not> writes:
>
>The severity of the swallowing difficulty depends on the tightness of
>the wrap. For 4-6 weeks after my surgery, I had *severe* swallowing
>difficulty, and in my case it was *way* worse than the the reflux; for
>two weeks, anything more substantial than broth would often result in
>massive muscular cramping followed by painful hiccuping and eventual
>regurgitation. It was, literally, debilitating (nothing like being
>curled up on the floor from violent hiccups and dry heaves), while my
>reflux never hit that level of pain (but the swallowing difficulty was
>an acute thing, whereas the GERD was miserably chronic).
>
>It started to clear up right as they were considering dilation, and
>I'm fine now, and glad I had it done. I believe they also discussed
>possibly adjusting the wrap as well, but I don't recall the details 4
>years down the road. But for a while after the surgery I was doubting
>my decision...

I put it off for over a year because my doctor advised me of the
dysphagia possibility. I was having a lot more trouble swallowing at
the time, and didn't want to risk making that problem worse. Like
you, I noticed increased dysphagia after the procedure. But it soon
decreased as my esophageal inflammation improved. I've also since had
two dilatations in conjunction with endoscopic exams. Food (and
sometimes liquids) still get stuck, but it only happens a couple of
times a week, lasts only 20-30 seconds, and usually during periods of
stress.

And I don't mind the occasional dry heaves. I hate throwing up so
much, it's actually a great comfort for me to know nothing is going to
come up when I do get them.

Howard McCollister

2005-04-26, 10:51 pm

"R F" <qwerple@webtv.net> wrote in message
news:10941-426DC9F3-618@storefull-3157.bay.webtv.net...
> yes there is a cure. you will have to follow these steps exactly. 1st
> there can be no soda or carbinated beverages in your stomach. if you
> have been taking TUMS or ROLAIDS or any other candy like medication
> stop imediatly, this will only make the acid worse. no alchohol or
> tobacco can be used. especialy not wine. no canned fruit or fresh
> fruit especialy not oranges or pineapple. no milk or beans this will
> give you bloat and gas and worsen your condition.
> you may eat 6 eggs for breakfast, over-easy with soft runny yolks, fried
> in 3 strips of bacon with 2 or 3 peeled and sliced potatoes stir fried
> in bacon fat... no toast, no coffee is permited.
> for lunch eat 5 or 6 cotto salami sandwiches on white bread with the
> crust trimed and margerine or mayonase. plus 2 or 3 ripe bananas.
> remember no coffee tea or soft drinks! you will have to learn to
> cook this soup for dinner. peel and quarter about 10 potatoes toss them
> in a large pot, bring to boil. now stir fry 2 stalks of sliced celery
> in a stick of butter and toss it in with the potatoes, add minced
> garlic. now strir fry about 10 sliced carrots in a stick of butter and
> toss them in the soup pot. the soup should be simmering. now toss a
> cup or rice into the soup, cook it with the lid on. now stir a cup of
> flower with 2 cups of water and throw that in the pot. let this simmer
> for an hour. now add a can of corn, and a can of string beans, and a
> can of peas. a hand full of salt and pepper and 3 bay leaves should
> already be in it. keep adding water and stiring. it should cook for
> about 2 hours. this should be enough soup to last you 3 or 4 days. and
> you can take some to work in a RUBBERMAID thermose.
> Dr. Bill
>

Heh heh...ya gotta love the internet...

HMc