Surgery for GERD

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Question:

> I just recently switch doctors (about 6 months ago) over the last 5 years I > have been switch from one drug to the other, now nothing is working and I am > continually having heartburn.  My current doctor placed me back on Aciphex > and sugested that I give it a try for 3-4 weeks and if I do not get relief > then I should start to consider surgery.  I am currenlty not only > experiancing the heartburn but get acid and food backup whenever I bend > over, anytime…….  I am only 38 years old, slightly overwight (+20 lbs),

In my case, I found that the "lose some weight, even a few pounds" advice from my MD was also advice that helped a *lot*.  Losing 5lbs greatly reduced my GERD problems (and I was not, and am not, even close to being overweight: 5′10" and 160 lbs). — Richard W Kaszeta http://www.kaszeta.org/rich

Response:

Not had it done myself but know of someone that has had the fundoplication procedure done and is very happy with the results e.g. eats what she wants when she wants. I think everyone has a different way of dealing with GERD, for me it was to loose some weight, watch my diet, try to get a handle on what I can eat and what I can’t and  get some type of regular exercise. I still have events but they  are minor and can be controlled with a little Mylanta. (well most times). I am on 1x 40mg of Somac (pantoprazole) / day. If you don’t have a motility problem and at 38 y/o it sound like you are a good candidate for for surgery. Have you had a Acid PH and Motilty study done? Casey

Response:

I have not had the PH test nor the Motility tests done, I understand what the PH test does but I am not quite sure what the motility test does?  Now that I think about it, awhile ago I went in and had several tests taken where I drank some stuff and they took pictures as I swallowed, then I drank some fizzy stuff and they took more pictures to see the reflux.  They also took pictures of my upper GI.  I have never had any problems swallowing or have never had any feeling of unswallowed food, quite the opposite, if I even bend over slightly after eating I will reflux my meal back into my throat and mouth.  I would like to be able to exercise without that fear! Thanks Rob

– Hide quoted text — Show quoted text -> Not had it done myself but know of someone that has had the fundoplication > procedure done and is very happy with the results e.g. eats what she wants > when she wants. > I think everyone has a different way of dealing with GERD, for me it was to > loose some weight, watch my diet, try to get a handle on what I can eat and > what I can’t and  get some type of regular exercise. > I still have events but they  are minor and can be controlled with a little > Mylanta. (well most times). > I am on 1x 40mg of Somac (pantoprazole) / day. > If you don’t have a motility problem and at 38 y/o it sound like you are a > good candidate for for surgery. > Have you had a Acid PH and Motilty study done? > Casey

Response:

Hi Rob Sound like you had a Barium Swallow and X-rays done. PH and Motility study requires a small tube down the throat into the oesophagus area (via the nose). The first is the Motility and you are required to swallow water and the motility is recorded on a machine. The second tube, PH (fitted straight after the first is removed) is left there for 24 hours and has a monitor attached to you belt (or on a harness). You are able to do all you normal activities in this time (within reason of course). The monitor has an "event" button on it so that if you have some reflux and or regurgitating you the press this button and the event is "flagged" as need to be looked at. This monitor record the whole 24 hours (not just the events) and is removed after that. I had no trouble with this procedure at all and only felt a little discomfort. The motility study is required if you oft for the surgery (determines the amount of tightness they set the sphincter).  Hope this is some help. Cheers Casey P.S. Motility is the natural rhythm of the oesophagus to move food down to the stomach. <snip>

– Hide quoted text — Show quoted text -> I have not had the PH test nor the Motility tests done, I understand what

Response:

When was the last time you have had a total checkup and especially a check internally.  I have not had the surgery, but have heard that if it is needed it is needed.  Dumb statement but true.

– Hide quoted text — Show quoted text -> Just wondering if anyone has undergone the surgery to correct GERD.  I have > been on medication for numerous years and they have all stopped working. If > anyone has undergone the surgery could you post your experiances?? > Thanks > Rob

Response:

I just recently switch doctors (about 6 months ago) over the last 5 years I have been switch from one drug to the other, now nothing is working and I am continually having heartburn.  My current doctor placed me back on Aciphex and sugested that I give it a try for 3-4 weeks and if I do not get relief then I should start to consider surgery.  I am currenlty not only experiancing the heartburn but get acid and food backup whenever I bend over, anytime…….  I am only 38 years old, slightly overwight (+20 lbs), have migranes and glaucoma. I have been on: Priolosec, Previced, Aciphex, Nexium……. Thanks Rob

– Hide quoted text — Show quoted text -> When was the last time you have had a total checkup and especially a check > internally.  I have not had the surgery, but have heard that if it is needed > it is needed.  Dumb statement but true. > Just wondering if anyone has undergone the surgery to correct GERD.  I > have > been on medication for numerous years and they have all stopped working. > If > anyone has undergone the surgery could you post your experiances?? > Thanks > Rob

Response:

Just wondering if anyone has undergone the surgery to correct GERD.  I have been on medication for numerous years and they have all stopped working.  If anyone has undergone the surgery could you post your experiances?? Thanks Rob

Response:

> Just wondering if anyone has undergone the surgery to correct GERD.  I have > been on medication for numerous years and they have all stopped working.  If > anyone has undergone the surgery could you post your experiances??

Sure, I had a Nissen Fundoplication done in ‘01.  Here’s the short version: 1. Prior to the surgery, I was almsot completely unresponsive to medication (including Zantac, Prevacid, and Prilosec), and was recommended for a Nissen. 2. Had the nissen, which went fairly well except for a rather nasty bout of crepitus (trapped air under the skin) after surgery. 3. For about 3 weeks after the surgery, I couldn’t swallow anything solid, but then regained the ability to swallow.  Alas, at that time my GERD symptoms reappeared. 4. However, post-Nissen I have been a *lot* more responsive to medication, and am currently taking Nexium 2x a day, and an occasional Zantac prior to going to bed, and have regained a more or less normal life. — Richard W Kaszeta http://www.kaszeta.org/rich

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