Anyone have experience with cricopharyngeal ?

[Guest guest]

I talked to the manometry nurse yesterday & she told me that they

suspect cricopharyngeal achalasia. DS manometry is on 8/8. Has anyone

here had the surgery on the UES? Is it a long-term " fix " ? I just read

that the manometry can cause the UES to become hypertonic during the

test! Anyone have any knowledge or input here? The posts that I've

read were about the LES.

in OH, mom to: Grant 2 yo w/reflux, dysphagia w/aspiration &

on thickened EO28, in OT & PT, hypotonia, intolerant to lots with

immunologic responses, nodules found in duodenum indicate possible food

allergy, possible oral allergy syndrome, on prevacid, possible

achalasia

Aleah 5 yo w/reflux, cyclic vomiting (Now not sure if accurate dx since

eliminating dairy), delayed gastric emptying, MPI, chronic sinusitis,

hypotonia, in OT, on prevacid & rhinocort

[Guest guest]

Hi ,

Cricopharyngeal achalasia is easy. It is essentially the underlying fault which

generates a

" Zenkers Diverticulum " or " pharyngeal pouch " . Because the presence of an

outpouching of

the throat above an UES in spasm is easier to recognise, crichopharyngeal

achalasia goes

by these names.

Thankfully the surgery is much easier. Many surgeons (myself included) can now

perform

endoscopic stapling of pharyngeal pouches through the mouth. If it works it can

be a 5

minute operation, discharged the next day. In the circumstances where per-oral

stapling is

not feasible (stiff neck or small or absent pouch), a cricopharyngeal myotomy

can be

performed via a modest neck incision.

So the condition does not carry all the difficulties associated with LES

achalasia.

Hope this helps,

Bessell

www.gisurgery.net

> I talked to the manometry nurse yesterday & she told me that they

> suspect cricopharyngeal achalasia. DS manometry is on 8/8. Has anyone

> here had the surgery on the UES? Is it a long-term " fix " ? I just read

> that the manometry can cause the UES to become hypertonic during the

> test! Anyone have any knowledge or input here? The posts that I've

> read were about the LES.

>

> in OH, mom to: Grant 2 yo w/reflux, dysphagia w/aspiration &

> on thickened EO28, in OT & PT, hypotonia, intolerant to lots with

> immunologic responses, nodules found in duodenum indicate possible food

> allergy, possible oral allergy syndrome, on prevacid, possible

> achalasia

>

> Aleah 5 yo w/reflux, cyclic vomiting (Now not sure if accurate dx since

> eliminating dairy), delayed gastric emptying, MPI, chronic sinusitis,

> hypotonia, in OT, on prevacid & rhinocort

[Guest guest]

Thank you for the reply. He had an endoscopy & bronchoscopy 3/05 &

they didn't find any structural reason for the swallowing

difficulty. I'm guessing that means no pouch.?

His swallow is not as dysfunctional right now. Do these spasms come

& go? If so, will a manometry still pick up an abnormality even if

he's swallowing generally ok at the time?

> Hi ,

>

> Cricopharyngeal achalasia is easy. It is essentially the underlying

fault which generates a

> " Zenkers Diverticulum " or " pharyngeal pouch " . Because the presence

of an outpouching of

> the throat above an UES in spasm is easier to recognise,

crichopharyngeal achalasia goes

> by these names.

>

> Thankfully the surgery is much easier. Many surgeons (myself

included) can now perform

> endoscopic stapling of pharyngeal pouches through the mouth. If it

works it can be a 5

> minute operation, discharged the next day. In the circumstances

where per-oral stapling is

> not feasible (stiff neck or small or absent pouch), a

cricopharyngeal myotomy can be

> performed via a modest neck incision.

>

> So the condition does not carry all the difficulties associated

with LES achalasia.

>

> Hope this helps,

> Bessell

> www.gisurgery.net

>

>