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    Endoscopy changed, after 2 Nissens
    SullyinCT2011 posted:
    Hi all, today I had my 3rd endoscopy in 5 years. Prior to today, the endoscopy had showed signs of acid reflux, but not much else. Today's endoscopy was much different than my last two:

    Preliminary results:

    Mild Esophagitis, Dilated esophagus, partial Schatzki ring (biopsied, not stretched), wrap intact but hiatal hernia is present

    Prior to this, I had been talking alot with my GI (I work with him on research studies) and also a new surgeon, since the surgeon who did my first two nissens failed. It looks like I'll be having a third one soon, this time an open procedure.

    I have a family history of digestive diseases, especially cancer of the stomach and colon. I am only 30 and want to treat aggressively now if that might be in my future. Should I pursue the open nissen procedure?
    CalGal37 responded:
    Sully, I don't think anyone other than you and your docs can suggest whether or not you should pursue another Nissen. But it does worry me to hear you are 30 years old and have already had 2 Nissen's and may possibly have to consider having a 3rd revision because 'negative' changes seem to be happening a bit too rapidly in your system. I know you want to be aggressive, but do you have any other options to help tamp down the reflux short of another revision? Tissues have just so much 'stretchability,' and with the wrapping and re-wrapping of those tissues a time may come when further structural changes may not be able to be made and more severe surgical measures may have to be taken.

    Would it be possible to add PPIs and see if that will help the situation along with a change of diet? I know it's not a cure, but............?

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