and request for recommendation

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Could you help us out and share a little more? who was the surgeon what was the article? Link? what does he mean by preoperative endoscopic therapy? I have underline a statement below, that I dont understand ... can you explain it more? thanks carolyn mom of cameron in CA kare4266 <guerralkml@...> wrote: I contacted C. in ville to ask for a name of a doctor that he would highly

recommend that would have the experience and knowledge to properly conduct the tests and perform any necessary treatments. He told me he would be willing to have me see one of his GI experts, and then see me himself and discuss surgery if needed. He did not recommend any other doctors. He is the one that participated in the article from the ls of Surgery that Peggy posted. Based on this article he is not too keen on preoperative endoscopic therapy because of more intraoperative complications, primarily perforation, more postoperative complications, and a higher rate of failure than when no preoperative therapy was used. He believes that endoscopic therapy for achalasia should not be used unless patients are not candidates for surgery. Anyway, I wanted to find out what everyone feels should be the first steps taken and what to be aware of. For example, should I

first insist on having a Timed Barrium done to confirm that I actually do have Achalasia and if so, what do I need to be aware of when going to have this test done? Or is there something else I should do first?Thank you, 4-H Leader extrodinaire! All-Star Adisor to the most awesome kids of Amador County!

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