Nissen Toupet Surgery Undone?

Dear Ask The Doctor: I just had the Nissen Toupet in Jan, about a month ago. I was feeling great, bragging to everyone, having no heartburn after the surgery. But then about a week or so ago, I started to get chest pains and stomach pains. It feels like heartburn, sortof. When I brought it up to my surgeon, he thinks the wrap is too tight and it is pains from food getting stuck???? I am not really having to much trouble eating. But he wants me to undergo a dialation, to have the opening stretch, but I think it has come unwrapped already? Can anyone advise if I should undergo the dialation? Or is it a waste of time and money? And if it is possible for the wrap to be too loose or come undone already??? If the wrap has come undone already will the doctor be able to tell when he goes to do the dialation? I have a week before my dialation surgery... And have been searching the internet as much as possible trying to figure out what is going on inside..

Dear Kimberly: Your symptoms could be caused by both slippage or narrowing of the esophagus and food getting stuck in the narrow passage. It is possible for the wrap to have come undone. When the surgeon prepares you for dilatation he will be able to tell which of two problems you are having. If the wrap has come undone, you will require repeat surgery.