We had three (yep three) failed Nissens. My son was born with E/A also and his pediatric surgeon explained the reason why the Nissens failed.
In order to do a Nissen a tool must be inserted down the esophagus that the surgeons use as a "shelf" to wrap the stomache around. In children born with challenges like ours sometimes they can't get this tool down there and have to do the wrap "blind" and that is why it slips or fails.
I had it after the third one and we just went home with a JG tube. I was sick of him being NPO all the time.
Curious did little Noah have TEF as well?
I belong to the EATEF board but the messages are restricted on where you can post them, not as free flowing as this one is but there is still alot of valuable info on there.
Good luck and HTH
Leslie, mother to Chris (12), Chase (3) and Chad (2) I have 3 boys cause I didn't want 4. Chase- X 31 weeker, Trachea Esophageal Fistula, Esophageal Atresia, Pyloric Stenosis, VSD, Pulmonary Stenosis, Severe malacia (90% occlusion)..one failed decann attempt