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Old 02-13-2012, 10:03 AM   #1
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Nissan, Stretta or TIF

I am 56 y/o life long sufferer of GERD, diagnosed with Baretts 10 years ago, taking 30mg Prevaid 2X daily. The condition has advanced to where I occasionally vomit food at night making life miserable.

I am a veteran of numberous endoscopies with ablations. Negitive biopsies. Recent barium floroscopy and upper GI motility test performed with the intent of having a Nissan procedure VERY SOON.

Reading of the variety of outcomes of others has instilled skepticism.

Why is there not much discussion regarding the Stretta or the TIF procedures.

Should I, shouldn't I, should I, shouldn't I............

Thanks in advance.

Jerry

 
Old 02-13-2012, 03:43 PM   #2
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Re: Nissan, Stretta or TIF

The thing is, the people with BAD outcomes tend to post more and stick around longer. Those with good outcomes tend to drift away from the board. In the language of science, this message board is not a representative sample.

It's clear that you really do have GERD. As long as you have strong swallowing muscles in your esophagus, it is most likely that you'll have a good outcome from Nissen Fundoplication. The procedure eliminates or greatly reduces GERD in almost everyone who gets it. The most common negative outcome is difficulty swallowing. At one point the risk of that was 10%, but if you get an esophageal motility study first AND go to an experienced surgeon, the risk is much lower. My surgeon uses a tool called a bouge to make sure the wrap is tight enough but not too tight. Also, he does about 100 fundopication surgeries a year, plus over 100 bariatric surgeries every year, so he KNOWS stomachs. (It's Nissen, by the way, Nissan is a car. Correct spelling makes it easier to Google all the good info. )

I had my laparoscopic Nissen 8 weeks ago. Since about the 6-week point, I've been confident that I made the right decision. I've posted my personal story on a few other recent threads, ask me if you have specific questions.

About TIF or Stretta, they are newer procedures. Not too many people have had them done, and not too many surgeons have experience. If there is a surgeon in your area who has done many of these, you might want to check it out. However, for people with severe reflux, fundoplication is considered more effective.

 
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Old 02-13-2012, 05:01 PM   #3
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Re: Nissan, Stretta or TIF

It is good to read of a positive outcome such as yours. I wish you continued healing. I would have to agree with you on your assessment of message boards and YouTube videos. I admit to being influenced by this negitivity. Similar messages of outcomes can be found regarding the TIF procedure.

My history is that the first GI specialist who diagnosed my Barretts 10 years ago suggested removal of my esophagus. This relationship ended at that point where I found another physician until things deteriorated.

Your statement about "bouge" gives me yet another question to ask my physician. I often wondered how and if this "tightness" was measured.

If I have this procedure done, it will be at UC San Francisco where they have an abundance of expertise. What I do know is that I can't go on like this much longer. It looks that I am not a candidate for the Stretta. Will find out this week. Thank you for all.

P.S. nissen

 
Old 02-13-2012, 05:24 PM   #4
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Re: Nissan, Stretta or TIF

You don't hear as much about the TIF as it has only been done a few years with most TIFs in the last year or so. When I had my TIF last April my surgeon had done about 40 TIFs. A friend who had a TIF in January with the same surgeon said that he had done about 100. My suggestion is to find a surgeon who had experience with these surgeries and follow his advice.

 
Old 02-13-2012, 08:17 PM   #5
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Re: Nissan, Stretta or TIF

I had my first Nissen in Jan. 2007 and by April, the surgery had come undone so... i waited until april 2010 to have the Nissen redone by a bariatric surgeon, not a gastro-surgeon and it has worked well but recently, my heartburn is back so i dont know what to tell you. my first nissen was a disaster bc it was way too tight and i got so bloated and physically ill btwn jan and april 2007. the only reason i went for round 2 on the nissen surgery was bc i in january 2010 i started vomiting almost everything i would eat so something had to be done.

sorry couldnt be of more help.

also, have no idea what a stretta or tif is. BUT i am having yet another endoscopy done on march 2nd so i will stay in touch.

 
Old 02-14-2012, 10:42 AM   #6
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Re: Nissan, Stretta or TIF

I had my NF in 2008. I've been very happy with the results.
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Old 02-14-2012, 04:07 PM   #7
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Re: Nissan, Stretta or TIF

I appreciate hearing something positive. I thank you for your response.

 
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Old 02-14-2012, 04:54 PM   #8
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Re: Nissan, Stretta or TIF

can i ask why you're having a nissen if you're taking Prevacid?

 
Old 02-14-2012, 08:26 PM   #9
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Re: Nissan, Stretta or TIF

That would be mainly due to vomiting in my sleep and recommendation by a physician. Im still quite unsure, undecided. Thank you

 
Old 02-15-2012, 05:41 PM   #10
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Re: Nissan, Stretta or TIF

Thanks to all who put their 2 cents in..... It all helps me to make an informed and the best decision. Today I had the motility assessment preformed at UCSF. As they were previously unable to insert the tube down my throat, I found this to be a rather very uncomfortable procedure even under conscious sedation.


Good luck to all

 
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