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GERD (Acid Reflux)  (Expert Forum)
 | 
complication to fundoplication 10 years after surgery
Answered by
Ratnakar Kini, MD - Gastroenterology, Pediatrics, acid reflux, gerd, colitis
Institute of Child Health & Hospital for Children India
This forum is for questions and support regarding Gastroesophageal Reflux Disease (GERD) / Acid Reflux with topics including: Causes, Constipation, Diagnosis, Diarrhea, Drugs and OTC medications, Living with GERD, Loss of Appetite, Preventing Flare-ups, Research, Risk Factors, Symptoms, Support, Surgery, Tests, Treatments.

complication to fundoplication 10 years after surgery

by ChrisG63, Apr 02, 2008 10:17PM
I had fundoplication surgery about 10 years ago. It was largely a success with the major issues. I did however over a period years need Prilosec once daily. Two months ago, I ate something that did not agree with me that led to a rough episode of vomiting. Since that episode, I have had pain in my esophagus, bloating, inability to eat larger meals, acid taste in my mouth. I am still taking Prilosec once daily (I have side effects if I take it twice daily) and 300ml of Zantac once daily as well. I had an upper GI and the wrap appears to still be in place, but I am suffering with pain (not burning), bloating and overall discomfort. My doctor wants to check on how my stomach is emptying, but I am convinced that this was a direct result of the vomiting as this dramatic change in my condition occured within 12 hours of the vomiting. I have also noticed that if I do any sucking (on a straw, lollipop etc) that it seems to trigger this condition for the worse. I like my doctor, but he seems to be a a bit of a lose as to what exactly is going on.

From a laymen's perspective, it feels as if my stomach is trying to press up through into my esophagus. Any advice would would be greatly appreciated.

by Ratnakar Kini, MD, Apr 14, 2008 08:24AM
Hi Chris,
I would suggest you to undergo the following tests -

1. 24 hours pH monitoring - to find if there is any reflux
2. Esophageal manometry ( usually done along with ph Monitoring) - To assess the status of the lower esophageal sphincter
3. Gastric emptying scans - To see whether a delayed emptying is causing all these.

Till then you can continue with Prilosec and  follow some the life style changes needed to control GERD.
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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.

- Ratnakar Kini M.D.
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