Re: Heidi and Clarification

[Guest guest]

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> Heidi, alot of the folks here have had a myotomy. This surgically creates

GERD. The

fundoplication stops the acid and food from oozing back up the E.

I had the myotomy done without fundo 7 months ago and I do not have Acid reflux

as a a

side effect. The myotomy weakens the LES; but does not necessarily cause GERD.>

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[Guest guest]

Yikes, let me clarify that... surgically creates a GERD [situation], as the LES remains open as in Reflux. A myotomy cuts the sphincter so it cannot close, and GERD can be a result of a myotomy. Carolyndrgioia75 <santanagioia@...> wrote: >> Heidi, alot of the folks here have had a myotomy. This surgically creates GERD. The fundoplication stops the acid and food from oozing back up the E. I had the myotomy done without fundo 7 months ago and I do not have Acid reflux as a a side effect. The myotomy weakens the LES; but does not necessarily cause GERD.> > > > > > >

[Guest guest]

Just a reminder that if you have a VATS myotomy you don't usually have gerd either. VATS cuts higher up the esophagus and less into the stomach. That is the advantage. Fundoplications might cause more complications later by being too tight or too loose, that is the advantage of VATS surgery. Old news, I know, but new members.> I just want everyone to understand that you cannot just go by the > results of manometry to diagnose Achalasia.> > They diagnosed me with just the results of a manometry. However, my > barium x-ray was totally perfect, except for I just about refluxed > onto the doctor (ha-ha).> > I wish all of you good luck. Now I must make a decision about whether > I want my stomach wrapped around my E or not...> > I'm scared but miserable.> > Heidi> > > > > > > > >

[Guest guest]

Just a fine point on myotomy creating GERD, if the surgeon is precise and

skillful enough

to cut the muscle of the LES, GERD does not have to be the result. I am walking

proof.

Peggy of Lompoc, VATS myotimized but not wrapped, no reflux or reflux meds

> I just want everyone to understand that you cannot just go by the

> results of manometry to diagnose Achalasia.

>

> They diagnosed me with just the results of a manometry. However, my

> barium x-ray was totally perfect, except for I just about refluxed

> onto the doctor (ha-ha).

>

> I wish all of you good luck. Now I must make a decision about whether

> I want my stomach wrapped around my E or not...

>

> I'm scared but miserable.

>

> Heidi

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[Guest guest]

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> J>> > the myotomy allows the LES to open; not necessarily disallowing it to

close.

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> > Wooleeacre Productions

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> > ---------------------------------

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[Guest guest]

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> > J>> > the myotomy allows the LES to open; not necessarily

disallowing it to close.

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> > > Wooleeacre Productions

> > > Custom Screenprinting

> > > on a small scale!

> > >

> > >

> > > > A mytotmy is a procedure that makes radial cuts around the

l.e.s. and is usually accompanied by a funsuplication to support the

weakened area. It is usually efffective in many patients, but not

all. After I had nine from USC's DR Jeffery s and Dr.

Demeester, I felt no relief in swallowing, only pain. There are many

factors involved: the extent of procedures performed on the l.e.s.,

the amount of scar tissue formed on the l.e.s. and individual

physiological differences.

I was told the only remaining option is a colonic interposition--a

highly invasive operation necessitating an incision from the ear to

the groin, removal of the esophagus and l.e.s., moval of a segment

of the colon with its blood sample intact. This extensive operation

would still leave one with GERD, fecelent food relux or aspiration

in the lungs or sinuses, episodic pneumonia, bronchistis, sinusitis,

etc. The only thing it would treat is the pain from the l.e.s.,

which can be done without the huge risks that this operation would

entail.

steve

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> > > ---------------------------------

> > > Music Unlimited - Access over 1 million songs. Try it

free.

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[Guest guest]

Steve wrote:

A mytotmy is a procedure that makes radial cuts around the l.e.s.

Radial cuts around? If by "radial" you mean THE incision is

radiating up and down from the LES, then ok radial it is. If by "cuts"

you mean one incision produced by more than one cutting motions then ok

"cuts" it is. If by "around" you mean near and not circling then ok

"around" it is. One incision a little down the stomach and a little up

the esophagus. See the picture in the link below.

notan

Tufts-New

England Medical Center

Laparoscopic Cardiomyotomy

(Heller Myotomy)

http://www.smallscars.com/pages/proc_dx/hellermyo.html

[Guest guest]

Several have been down this road and they will undoubtedly chime in here --

several have

been successful after this tough surgery in getting some relief.

Good luck

Peggy

> > >

> > > J>> > the myotomy allows the LES to open; not necessarily

> disallowing it to close.

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> > > > Wooleeacre Productions

> > > > Custom Screenprinting

> > > > on a small scale!

> > > >

> > > >

> > > > > A mytotmy is a procedure that makes radial cuts around the

> l.e.s. and is usually accompanied by a funsuplication to support the

> weakened area. It is usually efffective in many patients, but not

> all. After I had nine from USC's DR Jeffery s and Dr.

> Demeester, I felt no relief in swallowing, only pain. There are many

> factors involved: the extent of procedures performed on the l.e.s.,

> the amount of scar tissue formed on the l.e.s. and individual

> physiological differences.

>

> I was told the only remaining option is a colonic interposition--a

> highly invasive operation necessitating an incision from the ear to

> the groin, removal of the esophagus and l.e.s., moval of a segment

> of the colon with its blood sample intact. This extensive operation

> would still leave one with GERD, fecelent food relux or aspiration

> in the lungs or sinuses, episodic pneumonia, bronchistis, sinusitis,

> etc. The only thing it would treat is the pain from the l.e.s.,

> which can be done without the huge risks that this operation would

> entail.

>

> steve

> > > >

> > > >

> > > >

> > > >

> > > > ---------------------------------

> > > > Music Unlimited - Access over 1 million songs. Try it

> free.

> > > >

> > >

> >

>

[Guest guest]

I am nearly 6 weeks post myotomy and I have no GERd troubles at all.

Just in support of Peggy's comment.

> > I just want everyone to understand that you cannot just go by

the

> > results of manometry to diagnose Achalasia.

> >

> > They diagnosed me with just the results of a manometry. However,

my

> > barium x-ray was totally perfect, except for I just about

refluxed

> > onto the doctor (ha-ha).

> >

> > I wish all of you good luck. Now I must make a decision about

whether

> > I want my stomach wrapped around my E or not...

> >

> > I'm scared but miserable.

> >

> > Heidi

> >

> >

> >

> >

> >

> >

> >

> >

> >