Our expert says:
I can not give an opinion regarding Nissen procedures, but no decision by your medical aid should force you into having surgery. If you are controlled on medication, it may be acceptable to stay on that. You need the opinion of a Gatroenterologist and/or a surgeon with experience in this procedure, as no surgical management comes without possible risks and side effects. Regarding longterm effects of the medication, you should discuss this with your gastroenterologist.
Regarding your reflux, it is understood that the diagnosis can be confirmed on appropriate measurement. This test is referred to as an impedance test, and it sounds as if this is what your doctor is suggesting. It is a very accurate way of making the diagnosis.
From your history I believe you will benefit greatly from this test, as your decision making may rely on the outcome of this.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
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