I recently moved from Colorado to California. I am 52 and in good health. After working 6 years for a major sports team, I have taken up a position in a retail administrative department.
I had a history of heartburn going back 22 years. Sometimes the hearturn would go away but it became much worse around 2000/2001 when I couldn't swallow very well. I had the laproscopic Nissen fundoplication surgery which worked well for about 6 years. The operation was done after these tests: mamometry, Upper GI X-rays (Barrium Swallow) and Upper Endoscopy. They noted a small hiatal hernia. Then in 2007, I had something happen. I experienced difficulty swallowing and chest pains. So after a repeat of the studies I had in 2007 and improvement in the mamometry diagnostics, it was determined that something was wrong: the wrap had migrated. I had a reoperation in late 2007 and had done well until about July 2011. My main symptom has bee pain mostly behind middle upper sternum, right upper sternum (just below the right shoulder). I sometimes get some pain in the left upper sternum (again, just below the left shoulder). I have extreme flatuence and sometimes have or feel like doing 4 or 5 bowel movements a day. Sometimes this is not the case, and things are normal for for a few weeks. There is less flatuence at that time. And , the shoulder/chest pain disappers. (I am noting this because I had the chest pain a couple of times before.). I think they may have made the wrap too tight. It is also painful doing some moderate to heavy lifting in the chest area. The hiatal hernia was repaired with "stitches" NOT mesh. As I remember, the surgeon said he did not encounter as much scar tissue as he anticipated for having a previous Nissen operation. But I think there could be a migration of the wrap that accounts for the wrap which could explain the pain. (1) I am thinking about a Reversal: Taking the Nissen wrap down or (2) Conversion from a Nissen to a EsophyX TIF. I am not that far from the practices of two fairly known surgeons specializing in thie area Dr. Hunter at OHSU and Dr. Ralph Aye at Swedish Medical - both north of here. What is your opinion of this? I cannot find out any information about the success of reversals. Or if they did an exploratory operation and foud something wrong. Would mesh keep the wrap from migrating?
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