Re: Nissen fundoplication?

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Kass,

I would agree with the Gastric emptying scan before having a fundo done. had one done just as a precaution before getting her g-tube,her doc didn't want any surprises.That test was fine,but an upper GI showed reflux which we did not know she had.Long story short,she had the nissen at the time as the g-tube.It's been over a year now and no problems.

,Mom to

Re: Nissen fundoplication?

Hi Lori :-) Was just wondering, have they tried meds to control the reflux yet?? Have they done a Gastric Emptying Scan to be sure its not an issue with delayed gastric emptying?? Abby refluxes a ton (including the throwing up when she's not on meds) and we were having a hard time controlling it with high doses of reflux meds. When we saw the GI at Mayo he ordered an emptying scan and we discovered that hers was delayed. As he explained it, this is likely why we've had a hard time controlling the reflux.....if the stomach is not emptying, the pressure builds, and all the reflux meds in the world are not going to stop it from coming back up. We seem to be seeing some small improvements with control the weeks she's on the motility meds over the weeks she's not, so hope this is going to make the difference. From what I have heard, like so many other procedures, there are some the fundo helps a ton and others that have more problems because of it. Most common issues I have heard about are that its wrapped too tight and causes problems, or its too loose or comes un-done, causing problems. FWIW, I'd definatly recommends the gastric emptying scan be done before the Fundo, just to be sure. If he's not emptying well, the fundo could cause more problems, not to mention make him miserable as the pressure builds. Hope this helps!! -- BIG hugs, Kass, proud mom to Chance(10-Mito), Madison(7-Mito), and Abby(6-Mito) Home Page (http://home.swbell.net/mcpoop/index1.htm) Updates (http://www.caringbridge.org/tx/mitowhat/) United Mitochondrial Disease Foundation (http://www.umdf.org) "Life is not about the breaths we take, but the moments that take our breath away" Unknown Lori Cutillo wrote:

Hi all, I'm wondering about your experiences with the nissen fundoplication surgery for reflux. just had the 24 hr. ph study and upper endoscopy. It showed he's refluxing 14% of the time. The doctor said it is severe; however, she has seen worse. She said if were her son, she would do the surgery. Just not sure what to do. He's actually going through a period of throwing up less; but, as the study showed, he's still refluxing, it's just not coming all the way up. A couple months ago, he went through a period of actually vomiting up to 10 times a day. Do you have any opinions about whether the procedure is worth it? Thanks! Lori and , age 4 1/2, complex I and IV Please contact mito-owner with any problems or questions.