Julia from Humble sent us this question: “If one is not a candidate for a Nissen Fundoplication due to poor motility and a previous Nissen, would it be possible to have Roux-en-Y gastric bypass surgery to alleviate reflux? Thank you.” Dear Julia, At Houston Heartburn and Reflux Center, very...
“Clinical Significance of Esophageal Outflow resistance Imposed by a Nissen Fundoplication”, is a new study published by Demeester el al in the journal of the American College of Surgeons, JACS. Using esophageal manometry, the authors measured intrabolus pressure in normal subjects and in acid reflux...
“Laparoscopic Nissen fundoplication improves disease specific quality of life in patients with GERD and functional esophageal outflow obstruction” is a recently published study in Surgical Endoscopy. The authors demonstrate that functional esophageal outflow obstruction noted on manometry in acid reflux patients is not a contraindication...
Rick from Houston Sent us this question: “Hello, I just got my results back from esophageal manometry test and my acid reflux specialist said I have almost no motility. He said it's like being gravity fed into my stomach. He also told me that I...
When and what can I eat after Nissen fundoplication surgery for heartburn is a very common question. At Houston Heartburn and Reflux Center we have adopted a dietary guideline for our patients to follow after Nissen fundoplication surgery. Following anti-reflux surgery, the distal part of...
Acid reflux patients often wonder when does heartburn go away after Nissen fundoplication? The short answer is immediately. Properly performed hiatal hernia repair and Nissen fundoplication restore a competent anti-reflux barrier. Consequently, acid reflux patients who have taken PPIs for years are consulted to stop...
Nissen fundoplication surgery, when properly performed, sets the bar quite high in terms of our expectations for new treatment modalities for acid reflux disease. Heartburn patients with objective evidence of acid reflux who undergo Nissen fundoplication and hiatal hernia surgery at Houston heartburn and Reflux...
Proper acid reflux testing is a crucial element of any successful heartburn and GERD management program. Endoflip, functional luminal imaging probe, is a relatively new testing modality that is finding its way into clinical practice. Endoflip uses an inflated balloon that is positioned within the...
Rick from Houston sent us this question: My acid reflux doctor gave me the option of partial, 270 degree also known as Toupet fundoplication or complete, 360 degree wrap, also known as Nissen fundoplication. My doctor explained that Nissen fundoplication is sometimes a little difficult...
Louise from Houston asked us this interesting question: When pH, motility and gastric emptying tests come back negative, yet there is still heartburn and only partial response to a PPI, what does one do? especially if one's eGFR is in the 40's. Do you save...