After having the nissan fundoplication, is is possible that it can affct your breathing?
Hi. I am now 28 years old. I had the nissan fundoplication operation cumming up 6 years ago. I had a bit of a hard time getting over the op, but after a couple of months thought that it was sucessful, as I didn't have any reflux. One night after drinking alcohol at a wedding I got really sick and vomitted several times. Before I had the nissan fundoplication I was told that I would never be able to vomit, or have reflux ever again, but clearly this was not the case. Since then I have vomitted several times (possibly from drinking alcohol of food poisoning), with some episodes lasting 12 hours straight and now have reflux frequently again. It's not as bad as before the op but it's still causing me greif. I have been feeling sick and unwell for over 2 months now. I still take Losec and Gavascon which I have been taking for years. I've tried other medication, but to no avail. I also don't think that I breathe properly sometimes. Sometimes I feel short of breath. The other day it was so bad that my whole body was shaking. I also have really bad wind. I burp a lot when I don't feel well and pass really bad smelling gas.
I have many quiestions...
Why and how is is possible that the operation didn't work properly? Should I have it done again?
Is is possilbe that I've damaged something with all my vomitting?
Why do I have so much air and gas in my stomach?
Is it possible that my reflux or the operation is now affecting my breathing?
Is this why I feel so tired, drained, heavy and lethagic all the time? Please help me to find some answers.
I will be eagerly waiting to see what you think. Thankyou for your time.
Hi,
I had the Nissan Fundoplication in June 2002, after years of suffering the effects of reflux.
I was told that I would not be able to drink carbonated drinks or burp. I suffered for a couple of months post op with the regular problem of getting solids down and a couple of times I was quite unwell, on one occassion I tried to eat a bannana which just didn't want to budge, hey presto a few gulps of Coke and it was gone... I used Coke a few times to move food down, and thankfully after the initial first 2-3 months months I've had no problems in that department.
Burping - I have always been able to burp, and on some occassions I'm told that they smell disgusting, I know which ones will stink, as they seem to come from deep down and feel unlike a normal burp.
Vomitting - I have been unable to vomit from the day I had the op, (not that I made a habit of it before) I still get the feeling of wanting to vomit and the feeling you often get when you know if you can vomit you'll feel better, but unfortunately have never been able to, more often than not it has the effect of giving me the hot sweats and diarrhoea.
Breathing - I've found no problem with my breathing to date.
I'm glad I had the N F Op and would add that the couple of side effects suffered are worth it.
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To anyone that's interested,
I am the person that posted the above questions.
I have since been back to the specialist that performed my nissan fundoplication operation. He said that I should not be able to bring up any food and if I am, then the operation hasn't worked properly. He said that back when I had my op done, they were still perfecting the procedure. The way I understand it is, when they do the wrap (as they call it) they attach 5-6 permenant stitches to the front and one at the back to hold it in place. In some odd cases, the back stitch has either burst or stretched allowing the food to get past. I still have to have a gastroscopy to confirm that this is the case with me, but have been told that this is the most likely reason for my systems. He thinks that the operation was a failure and that it is likely I'll have to have the whole thing re-done. As you can imagine I am mortified. He said that they now put a peice of gause over the top of the back stitch, which works with the bodies scare tissue to strengthen the hold. I asked him if this was guaranteed to work and he said NO, There are no guarantees. I don't know what to do now. I don't want to put people off having this procedure done as I know it has worked for a lot of people. It worked for me for a couple of years, but over time my symptoms have all come back and once again I'm bringing up food. The doctor does not think my shortness of breath has anything to do with the op or my reflux.
Good Luck to anyone that has the procedure done. I hope this has helped.
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i had this surgery in 2004 and i still dry heav after drinking or eating too much when i was pregnant i dry heaved for 6 months straight. but the doctor told me u will have more gas and that it takes alot of force to unwrap the surgery so just be careful dont eat to much or what u no will give u reflux and as hard as it is stay clear of alcohol unless u wanna dry heav till 9 in the mornin!
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Hi.
In case you read this and are interested, I`m having the same symptoms you experienced with the Nissen Fundoplication (shortness of breath). If you wanna keep in touch, my email address is sjhon_fabio at hotmail.com.
John Serrano.
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Be very careful and don't confuse your fundo with secondary achalasia. This can happen when the wrap is to tight. Food gets stuck at the junction where the fundo wrap was performed. This food can ferment and cause very similiar symptoms to acid reflux. Any food (especially alcohol) creates a differant type of acid and your esophagus regurgitates the contents. Ask your doctor for a barium swallow from a qualified radiologist.
I've had 2 fundoplications in the last 11 years. I know your pain.
Good luck!
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daisy
Wednesday, August 19, 2009 at 07:29 PM
Wild Bill
Wednesday, August 19, 2009 at 08:57 PM
They were both successful. The first fundo was a toupet or what they call a half wrap. The radiologist also said my wrap was still in place, but this does not mean that it is working. It lasted 11 years. It is very difficult to tear the stiches out. Most surgeons now use stitches and a mesh screen that bonds with the scar tissue. He is wrong telling u that a second fundo cannot be completed laparoscopically. My nissan was done laparoscopically 11 years later with lots of scar tissue in the way. It is so very important to choose a surgeon that specializes in these ops only, even if u have to travel out of state. Do not pick a general surgeon. The endoscopy, barium swallow, and the esophageal manometry should all be repeated with the right doc. Sorry, I don't know whats up with the hot stuff. There could be damage to the lining and the hot stuff iritates and the cold stuff soothes it? I could get u my docs number and he could help u or find u a doc who could. best of luck!
Nana
Wednesday, August 26, 2009 at 11:04 AM
I had the nisson done in Feb of this year and it lasted about 6 months. I started having problems about 3 weeks ago and I'm miserable. My throat and chest are raw. I barely have a voice. The doc has put me on 80mg of Nexium a day to see if that helps. I've only been on the double dose for 2 days and no relief. I am getting pretty desperate. I don't want to overreact but I don't want it to turn into something worse either. Any advice?
micky
Wednesday, September 09, 2009 at 12:31 PM
hi i,m micky i,ve just had a nissen fundoplication done laparoscopic 3 weeks ago every thing seems ok so far as reflux goes but when ever i eat i sweat and dry heave and feel unwell how long does it last like this and is it normal
i,ve also had shortnessof breathe along with plurisy which i still have very painfull
Ed
Tuesday, October 06, 2009 at 04:46 AM
I'm a young guy (27) and I've had Barret's edophagus for a year now. I've been on Nexiam all that time, which has really helped. But it's rather expensive and I've always been contemplating having the NF.
Listening to all your stories I'm really not so sure anymore. What do you guys recommend? Would you go for the op or just continue with the medication for the rest of your life...?
Margin
Tuesday, October 20, 2009 at 01:25 PM
I am brand new - searching the internet for some answers - thought I'd respond. Had my nissen fundoploication laparoscopically in October 2003. My heartburn was pretty bad but the worsf was my cough, constant throat clearing and swallowing problem - food just hung in my throat and would not go down, especially bread, meat. I also have nerve issues in my throat which are another story that contribute to this (glossopharyngeal neuralgia). Anyway, I could not and did not throw up 5 1/2 years - then this summer I got what I believe to have been food poisoning for the first time in my life. I threw up mercilessly for hours and hours. I get some heartburn now and one week ago I had a horrific pain on the left side of my stomach while I was sitting in bed doing nothing. It lasted for 20 maybe 30 seconds. I am convinced my nissen came completely undone. I had the sensation that something was unfolding/slipping deep inside my body right at the area where the main port from the surgery was located. I now have burning which is tolerable in the area and what appears to be a vein or weird piece of tissue sticking out of my body (under the skin) from the bottom of my ribs to my waist and then you can't see it anymore. Went to the doctor this morning - had a ct scan of pelvis and abdomen and the doctor is telling me everything looks fine although he says he can't see if the nissen is still in place - he says it doesn't matter. Well it does matter to me. He also says he doesn't know what this "tissue thing" is - could have been a clot (occluded blood vessel) - seems to be coming out of the main nissen surgery port he says - seems suspicious to him. My original doctors are no longer around and this new group doesn't seem too concerned. I have the throat clearing back and the cough is just starting a little bit. Yes, I have breathing difficulties with this condition also - it is like I can't breathe and talk at the same time - I have to hold my breath while talking and then stop talking and quick breathe. I also have vagus nerve involvement and this past week I have that all too familiar vibration of the vagus nerve up the center of my chest. Haven't felt this since prior to the nissen surgery. Ever since the surgery I have the worst gas passing from whatever I eat. Why my family doesn't make me live in the garage I will never know. My bowel movements have an ungodly smell, texture has changed - nothing is working right. Whoever invented that tube down the nose 24 hour gold standard probe test obviously never had it done to them, ditto on the mannometry test. I will never go though those tests again. From reading this site I see I need a different test to see if the nissen has come unwrapped, gastroscopy, barium swallow, endoscopy, what is the best one? If it is undone, I wonder if I can just leave it and try meds. I don't want to do it again. What if it is half undone, hanging by a thread or something, is that bad? I would appreciate hearing of other's experiences. I wish you all well.














Hi, I hope you dn't mind me askign something here but this last answer talks about having had the nissan fundoplication twice. Do you mind if I ask why and was the second one successful? I had one done two years ago and it worked for about 6 months but but now has completely failed- I now get reflux far worse than I did before the operation plus I can no longer tolerate anything other than cold drinks and cold food. I've had a barium swallow which shows the wrap is still in place but my specialist thinks I have loosened it by doing regular abdominal crunches. (no-one told me not to do them). I think it more likely that it was too tight in the beginning and I tore some or all of the stitches as that is what it feels like. The specialist says my only option is to have all the tests done again then to have the op but it can't be done laparoscopically and will last no more than ten years. As the first one didn't last, my worry is that nor will this second one and I might get other complications from the 2nd op like this inability to tolerate warm or hot food. What has your experience been?
I hope you dn't mind me asking my question on top of this original one. I have never had any shortening of breath or vomiting so this does sound as if the operation has gone wrong just as mine has.