This is more of a surgical question, but I'll address the GI aspects here.
If the symptoms continue, it's possible that the wrap has loosened, or was not tight enough to begin with. Repeating an upper endoscopy, or performing a 24-hr pH study, can both determine whether the GERD has returned, or may be re-contributing to your symptoms.
If so, a referral to a surgeon can be made to modify the
fundoplicationHiatal hernia repair.
You can also obtain a second surgical opinion, preferably at a
majorMajor tears
Major-gesic academic medical center.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin Pho, M.D.
KevinMD.com
Twitter.com/kevinmd