Post-nissen fundoplycation: Will I be able to vomit? - Gastroenterology

by katec, Aug 19, 2002 12:00AM

Thank you for responding.

I can burp, I couldn't for the first three months, but now I can. Not as often as I might want to relieve the pressure, and I really have very little control over stiffling them!

I'm living in New Zealand for a year, travelling and working, then heading off to Australia and Hong Kong. A trip I had planned for ages but could never have done before the surgery!

Kate

by jaspur, Aug 19, 2002 12:00AM

To: katec

I had a nissen wrap done in 1995 at Beth Isreal Hospital in Boston. It was a 5 hour laproscoptic procedure.It took me a months to burp (and I still cannot burp as I should) and as to vommiting I cannot. Forget about getting the flu,because I did and I thought that I would turn myself inside out trying to vomit...not a chance.As to the comment that the "wrap"is too tight I think that a laporoscopic operation such as this is not that exact that you can be wrapped too tight. My surgeon just simply said "yes you are right you cannot vomit anymore" I do not ever get reflux anymore and my barrets esophagus has "healed" and is not getting worse ( I have to have endoscopys every 18 months for life) Also my GI Doc and the one in Boston where I did get a second opinion,after the operation r.e. the not being able to vomit both told me that it was very common in fact more common than not. I also did not have this information before the operation..Your lucky that you can fart a lot the alternative is bloating which causes a lot of problems Good Luck

by Big john, Aug 22, 2002 12:00AM

I also had the nissan back in 1996. I cannot burp, belch or throw up. Also three days after the surgery I developed diarreha, pretty bad stuff, flatulation is unbelivable. My Diarreha has caused Osteoporosis of the spine.

Find a good Endocrinoligist, there are many ways to treat it and get the ionized calcium back in check.

I know several others that have had the same problems.

The big problem I find is many Doctors at the VA, dont think its possible. One reason is I dont have cronic wasting syndrome with the diarreha.

I do find it controled with codeine, but nothing else.

Good luck. Keep a phenigrin shoot on hand to stop any dry-heaves!!!!!!

Big John

by scotslass, Sep 04, 2002 12:00AM

Hi, I had a Nissen done last year and have not had heartburn etc one day since. I actually have never thought of whether i can vomit tho and it's definately a question i'll think about now. I hope i can if i ever need to. I am able to burp no problem. I have terrible problems tho with chest pain when i'm hungry, never had it before the op, thought i was haivng a heart attack the first time. When i eat after a while i feel better, any idea why this could be happening, or do any of you get similar symptoms after op?? thanks

by Torchman, Oct 20, 2002 12:00AM

Well my situation is not too pleasant. In 1978 I had a Nissen wrap. I did not have reflux,I had the surgery to reduce stomach acid. After I woke up the surgeon told me he did this new procedure the Nissen wrap which he thought would help me. About 2 weeks later my problems started reflux for the first time, and still stomach acid. I spent 15 years trying to convince these doctors I had acid and then in 1996 was sent to USC University Hospital in California. The surgeon supposedly "WORLD RENOUNED" as the saying goes re-did the wrap. He not only made it too tight, but he must have damaged the vagus nerves because since surgery, Ive encountered serious problems emptying which I did not have before. When I asked him what happened, his reply was he did not do anything to my lower stomach,only the wrap.I still have acid in the stomach,I still have acid backing up all my esophagus to my throat, and to compound my problem I have serious difficulty emptying. I had to have another surgery at another hospital to help me empty. They did a bypass from the bottom of the stomach to the pylorus, and I still have the reflux problem. I simply dont think these guys have the knowledge or the smarts to deal with reflux. I think if the stomach nerves are disconnected and a pyloroplasty or part of the antrum is removed by a competent surgeon, acid should a least be reduced, but they cant seem to stop reflux. Could it be istead of working on the esophagus, the lower portion of the stomach should be investigated for narrowing.

ALSO BEWARE OF THE SO-CALLED RENOUNED SURGEONS WHO WRITE ALL THE **** ON PAPER TO MAKE THEMSELVES LOOK GOOD. TRY TO LOCATE SOMEONE/PATIENT WHO HAS HAD A GOOD DOCTOR. THEN SEEK OUT A PHYSICIAN WHO SPENDS MOST OF HIS TIME DOING THAT PROCEDURE ONLY. THERE IS A STOMACH DOCTOR IN THE CARIBBEAN WHO HAS DONE THESE PROCEDURES HERE IN THE US FOR YEARS. HE WAS AT THE INDIAN RESERVATION DOING NISSEN WRAPS ON A WEEKLY BASIS. ONE OF THE FELLOWS HE DID WAS A 95 YEAR OLD INDIAN MAN AND THE OLD FELLOW TURNED OUT OK.

HE WAS TRAINED AT LOMA LINDA UNIVERSITY AND DID HIS RESIDENCE AT VANDERBUILT. HE IS VERY KNOWLEDGEABLE, DEDICATED,COMPETENT AND HIGHLY SKILLED. HE IS AT THE ADVENTIST HOSPITAL IN TRINIDAD WEST INDIES STILL PRACTICING AND KNOWS WHAT HE IS DOING. I'M TRULY SORRY I DID NOT FIND OUT ABOUT HIM UNITL NOW.

by Torchman, Oct 20, 2002 12:00AM

Well my situation is not too pleasant. In 1978 I had a Nissen wrap. I did not have reflux,I had the surgery to reduce stomach acid. After I woke up the surgeon told me he did this new procedure the Nissen wrap which he thought would help me. About 2 weeks later my problems started reflux for the first time, and still stomach acid. I spent 15 years trying to convince these doctors I had acid and then in 1996 was sent to USC University Hospital in California. The surgeon supposedly "WORLD RENOUNED" as the saying goes re-did the wrap. He not only made it too tight, but he must have damaged the vagus nerves because since surgery, Ive encountered serious problems emptying which I did not have before. When I asked him what happened, his reply was he did not do anything to my lower stomach,only the wrap.I still have acid in the stomach,I still have acid backing up all my esophagus to my throat, and to compound my problem I have serious difficulty emptying. I had to have another surgery at another hospital to help me empty. They did a bypass from the bottom of the stomach to the pylorus, and I still have the reflux problem. I simply dont think these guys have the knowledge or the smarts to deal with reflux. I think if the stomach nerves are disconnected and a pyloroplasty or part of the antrum is removed by a competent surgeon, acid should a least be reduced, but they cant seem to stop reflux. Could it be istead of working on the esophagus, the lower portion of the stomach should be investigated for narrowing.

ALSO BEWARE OF THE SO-CALLED RENOUNED SURGEONS WHO WRITE ALL THE **** ON PAPER TO MAKE THEMSELVES LOOK GOOD. TRY TO LOCATE SOMEONE/PATIENT WHO HAS HAD A GOOD DOCTOR. THEN SEEK OUT A PHYSICIAN WHO SPENDS MOST OF HIS TIME DOING THAT PROCEDURE ONLY. THERE IS A STOMACH DOCTOR IN THE CARIBBEAN WHO HAS DONE THESE PROCEDURES HERE IN THE US FOR YEARS. HE WAS AT THE INDIAN RESERVATION DOING NISSEN WRAPS ON A WEEKLY BASIS. ONE OF THE FELLOWS HE DID WAS A 95 YEAR OLD INDIAN MAN AND THE OLD FELLOW TURNED OUT OK.

HE WAS TRAINED AT LOMA LINDA UNIVERSITY AND DID HIS RESIDENCE AT VANDERBUILT. HE IS VERY KNOWLEDGEABLE, DEDICATED,COMPETENT AND HIGHLY SKILLED. HE IS AT THE ADVENTIST HOSPITAL IN TRINIDAD WEST INDIES STILL PRACTICING AND KNOWS WHAT HE IS DOING. I'M TRULY SORRY I DID NOT FIND OUT ABOUT HIM UNITL NOW.

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