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The radiographs give a general impression as to the appearance of the anatomy. The studies are demonstrating whether the fundoplication has "slipped" or become disrupted. It is not unreasonable to repeat a test during symptoms, but it is unlikely to change significantly. The best evaluation...
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A 24 hour ph probe is the definitive study to determine if your symptoms are being caused by acid reflux. Your symptoms of shoulder and back pain could be referred pain from irritation of the diaphragm. It would be unusual for the pain to be related to your operations if your Nissen fundoplication appears...
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Although rare, a failed fundoplication can be a challenging problem for both you and your surgeon. If a patient develops recurrent symptoms after a Nissen fundoplication, I would recommend repeating studies such as a 24 hour ph probe, manometry, barium swallow, endoscopy and possibly a gastric emptying...