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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can I Have A Repeat Nissen Fundoplication?

Hi, I had very severe GERD as a teenager which resulted in having a Nissen Fundoplication when I was 18. I have been symptom free since, until about 7 months ago (I am now 44). My symptoms have returned, and are very severe. I have been trying to control it with OTC medication, but without success. I have not seen my doctor yet, because I am not sure if there is anything that can be done. Can a fundoplication be re-done ? Are there other options? I was medicated the first time for several years. The various medications either didn t work, or had severe side effects. Thank you
Fri, 31 Aug 2018
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Internal Medicine Specialist 's  Response
Hi,



8% of patients with post fundoplication may reoccur if symptoms are present. This may be due to slipped fundus from wrap or it may be due to wrap around the stomach. So, you have to recheck about your fundus status.



Hope I have answered your query.

Let me know if I can assist you further.
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Internal Medicine Specialist Dr. Dr. Penchila Prasad Kandikattu's  Response
Hi,

You may be suffering from reoccurece of symptoms due to slipped wrap or untie of wrap or wrap around the stomach. Avoid spicy food and alcohol avoid smoking and caffeine drinks.
Use tablet Nexium before breakfast for one week. Please consult your gastroenterologist, he will examine and do Upper GI endoscopy then he may treat you accordingly.

Hope I have answered your query.
Let me know if I can assist you further.
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Can I Have A Repeat Nissen Fundoplication?

Hi, 8% of patients with post fundoplication may reoccur if symptoms are present. This may be due to slipped fundus from wrap or it may be due to wrap around the stomach. So, you have to recheck about your fundus status. Hope I have answered your query. Let me know if I can assist you further.