Fundoplication Slip

[RT48]

In November 2005 I had Nissen performed and everything went well.  I have been symptom free for a while until last year, then the heartburn and reflux slowly started creeping in.  Things came to a head in December when I vomitted and again in January.  I had an endoscopy performed and the GI doctor saw where the wrap had slipped and a hiatus hernia had developed.  I know these types of hernias are common.  After having a HIDA scan and a RUQ ultrasound performed, everything came back clean on the gallbladder.  He referred me to the surgeon that performed the original Nissen and I went to him today (with pictures from the endoscopy showing where the wrap slipped).  After being in my room for approximately 2 minutes, the surgeon left the room spouting off that he wanted an Upper GI performed and left me even more confused than when I arrived.  If the HIDA scan and the RUQ ultrasound ruled out the gallbladder, and the endoscopy showed the fundoplication slip, then why am I having to have more tests done?  If I'm not supposed to be vomitting, regurgitating, and having heartburn, then wouldn't the obvious answer be that the wrap has slipped (especially if a camera placed down my throat inside of my stomach showed the slip)?  I am so irritated because these are the same exact symptoms that I had prior to the surgery, the endoscopy has shown where the wrap has slipped, and yet I am still having to have more test done...WHY???

[HB63]

Hi. I had a Lap Nissen 19 years ago. and have had symptoms come back over this previous year. I have just completed testing that concludes that the nissen has indeed slipped and that a mod.-large hiatal hernia has re-occured.  Because of the severity, it is going to have to be re-done as opposed to managing the symptoms with medication (there have been great strides made in the last 19 years with medication treatment). When I first had the surgery in 1996, I was told that the repair should last about 15 years, so I consider myself fortunate to have gotten almost 20 out of it. The question now is whether or not the procedure will be able to re-done lap. I happen to be a Health Care Professional and have seen many patients with "re-dos" that all seem to have gone quite well. Great surgical strides are made in this area every year. Good Luck

[Deeann56]

If any one had a slipped fundoplation please let me know what they did to repair it for you. Thank you dee