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Sm12
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Quote Sm12 Replybullet Posted: 12†Apr†2019 at 12:35pm
I see thereís quite a high percentage of people back on ppis tho, probably with better symptom control
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Quote chrisrob Replybullet Posted: 12†Apr†2019 at 1:10pm
I had been on 80mg omeprazole daily prior to my first fundo, with no benefit to my reflux - though no more heartburn. (But I knew it if I missed a day.)

Following the op. I was totally off meds until the wrap failed.
Following second op, totally off meds again until just over a year ago. I'd started getting a small amount of oesophagitis again (though only noticed it if I had my customary glass of wine with my dinner). That's when I went for a requested scope to confirm and went back on 20mg omeprazole, which is when it was confirmed my wrap was intact. Another scope a few weeks later showed inflammation had healed and I can drink wine again with no problem. But I'm staying on low dose omeprazole just as a precaution. No reflux issues and if I miss a day, I don't notice it.
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Quote Sm12 Replybullet Posted: 12†Apr†2019 at 1:21pm
Thanks Chris just read your book downwithacid very informative.
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Quote Sm12 Replybullet Posted: 14†Apr†2019 at 2:54pm
Hi Chris you say you were in 80mg ppis before op that didnít work apart from getting no heartburn, what symptoms of reflux were you getting then to finally go for op? Thanks
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Quote chrisrob Replybullet Posted: 14†Apr†2019 at 6:05pm
The omeprazole was great at reducing the acid and curing my oesophagitis, but it did nothing to reduce the reflux.
(A survey I conducted a couple of years ago led to the conclusion, "In the management of symptoms of extra-oesophageal reflux, acid suppressant medication did not appear to be effective whereas reflux reduction surgery was.")

I had reflux symptoms all my life but didn't realise they were reflux.
My worst symptom prior to my op was my chronic reflux cough. I'd have a coughing fit at least once a day which would last 2 hours and end with me practically passing out.

This symptom checker lists most of the symptoms that may be due to acid or reflux.
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Quote Sm12 Replybullet Posted: 18†Apr†2019 at 4:31pm
Any problems with nasal congestion/sinusitis before your fundoplication that was sorted with the op? Always constantly blocked
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Quote chrisrob Replybullet Posted: 18†Apr†2019 at 6:05pm
Constant problems with blocked nose and sinusitis.
I remember my mother taking me to the doctor when I was three years old. She was concerned I was a "mouth breather". Doctor said it was "childhood catarrh" I'd grow out of!
A couple of years later, I had my tonsils and adenoids out to see if it helped.

In my late twenties, I used to suffer terribly with sinusitis and had my sinuses flushed on a few occasions.
I've had allergy tests. An ENT surgeon declared I had nasal polyps but another said he couldn't see any.

I just got used to living like that. Once I'd had my fundo, I could breathe again and discovered I did have a sense of smell after all.
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Quote Sm12 Replybullet Posted: 29†Apr†2019 at 8:59pm
Hi Chris I saw a surgeon today gonna have another endoscopy as itís been 18 months then probably go ahead with the surgery, one thing that concerns me that he mentioned was vagus nerve damage is possible canít remember the percent he said. Any idea and how dangerous is it? Thanks

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Quote chrisrob Replybullet Posted: 30†Apr†2019 at 12:58pm
There is a small risk of damage to the vagus nerve form fundoplication since it runs adjacent to the eosophagus.

This paper, Gastric Emptying and Vagus Nerve Function After Laparoscopic Partial Fundoplication, from 2004, concluded, "Laparoscopic hemifundoplication affects vagus nerve integrity in 10% of patients, but this does not lead to a delay in gastric emptying. In fact, gastric emptying improved significantly after fundoplication."

Damage to the vagus nerve can result in "Dumping Syndrome" where the stomach empties (dumps) too quickly into the duodenum.
This is actually very rare with an ordinary fundo (with a rare case reported here Dumping Syndrome as a Complication of Laparoscopic Nissen Fundoplication in an Adult) but more likely with more extensive surgery like an oesophagectomy.

Following my Collis Nissen revision, I have experienced dumping syndrome to the extend of rapid faint on three occasions. Although I rarely get it now, I recognise the early symptoms when I start feeling vague and losing concentration, possibly feeling nauseous. I always keep dextrose tablets or Kendal mintcake to hand and a bottle of water. I find two or three dextrose tablets or a bar of Kendal mintcake and drinking lots of water helps prevent further progression.
Because two of my fainting occasions, occurred in the bathroom, my wife makes sure there's a bottle of water and dextrose tablets readily on hand there.

I did seek help from my surgeon who wanted to rule out any possible heart problems causing the attacks and had me fitted with a Reveal Linq heart monitor but I've not had a fainting attack in the 4 years I've had it.
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Quote Sm12 Replybullet Posted: 23†Jul†2019 at 6:09am
Hi Chris just an update I met the surgeon 2 months ago and he wanted another endoscopy done, I had one a year and a half ago done and esophagitis grade 1 was found so I was quite surprised this time that grade 2 was found with mild non erosive gastritis even tho for the most part apart from the 2 week lead up to endoscopy Iíve been on 2x lansrapazole daily, sometimes 1. Any idea how this could happen and is there any treatment for the gastritis? Iíve got a follow up soon, thanks
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