I am a little more than a year post-op (Ivor-Lewis oesophagectomy/partial gastrectomy). Of course, I had had reflux for years but the symptoms were quelled by PPI's until after the operation. Despite assurances that the cutting of the vagus nerve in the operative process would likely lessen the reflux, I found that it was worse and that PPI's did not quell the reflux as well as they had pre-op. What did work (incredibly to me and my doctors) was chewing sugarless gum immediately after eating and much of the day as well. I now take a 20mg PPI per day, a couple of ranitimide before bed, and chew gum as mentioned above and I have no problem whatsoever with reflux.