continued chest pain following fundoplication

[mrsnichols65]

One year ago I had fundoplication for GERD and hiatal hernia repair.   The night time chest pain has never stopped since the surgery (which was also present before the surgery).  Yesterday I had a stress-echo test and all was normal there.  What is the likely cause of this discomfort that causes me to lose so much sleep every night?

[mrsnichols65]

Thank you so much for your response.  I will be returning to see my surgeon and suggest the information that you have provided.  He is an excellent surgeon and I know he will do everything possible to help me.  
This site is an excellent community resource!

[Christopher R Watters, MD]

I hate to say it but they probably should be repeated. The vast majority of non-cardiac substernal chest pain is related to reflux. One needs to confirm that the fundoplication is working. Ruling out esophageal dysmotility would also be important.

[mrsnichols65]

Yes, I did have those studies prior to surgery.  

[Christopher R Watters, MD]

Did you have an esophageal manometry study with the pH study before the surgery?