Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 wrote: > ... Who was " Joe " . I am not familiar with him. ... I should have been more accurate about what I said. He actually survived the surgery but may have died from the complications. It is a complicated story. The outcome of the surgery was not good. One of the problems Joe had was adhesions, scar tissue that binds organs and tissues together. In one of the messages he reports that his doctor said he scarred more than most people. There are other comments that relate to it too. It probably made his surgery much more difficult which could have lead to the cut artery. The more surgery you have in an area of the body the harder it can be to do any more there. Here are some of the messages of his story. Have some tissue ready. 1-13-08 Scheduled for surgery on 3-6-08: achalasia/message/46994 His esophagectomy was not vagal-sparing. Some are, some are not. As everything with achalasia it is controversial. achalasia/message/47024 A modified roux-en-y gastric bypass procedure became the new plan: achalasia/message/47064 He lists other problems; vocal cord nerve cut, anastomotic leak, diverticulum in anastomosis, aspiration pneumonia, severe dumping: achalasia/message/47067 He lists more problems; umbilical hernia, torn adhesions, pain, B-12, dehydration, damaged kidneys: achalasia/message/47085 1-18-08 J-tube problem while waiting for surgery: achalasia/message/47108 J-tube test showed MRSA: achalasia/message/47122 and achalasia/message/47173 Changes and J-tube damage moved surgery up: achalasia/message/47255 1-24-08 Surgery, blood loss due to a accidental cut in large artery: achalasia/message/47296 Ventricular tachycardia (VTAC), ventricular fibrillations (VFIB): achalasia/message/47348 1-26-08 Coded again: achalasia/message/47371 High fever, heart beat problem, back in surgery to fix a leak: achalasia/message/47395 1-27-08 Heart muscle damage: achalasia/message/47418 1-28-08 Brain damaaged? achalasia/message/47435 1-29-08 Was sitting up, things looked good: achalasia/message/47476 2-1-08 Couldn't walk or sit for very long, and had seizures (stroke): achalasia/message/47577 2-3-08 Was facing Short-Term Rehab for stroke: achalasia/message/47646 2-4-08 Joe posted to the group: achalasia/message/47708 2-12-08 Day before rehab (couldn't move left side well): achalasia/message/47976 3-5-08 Back to Brigham and Women's Hospital for leak: achalasia/message/48505 6-16-08 " I wish everyone well. " Joe: achalasia/message/50696 7-9-08 " Sad Day for us. " Robyn: achalasia/message/51068 Death from heart attack may have been caused by nerve stimulation: achalasia/message/51186 All these messages were from jmr12667. There are other messages under that name if you want to search for them. His older messages were under robjoe94, joecoolrn and applelady72. For some history see: achalasia/message/818 achalasia/message/935 achalasia/message/945 achalasia/message/1097 achalasia/message/1134 achalasia/message/1385 achalasia/message/1450 achalasia/message/1452 achalasia/message/1794 achalasia/message/2279 achalasia/message/2797 achalasia/message/3241 achalasia/message/3443 There are other messages too. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2011 Report Share Posted March 1, 2011 wrote: > I wish that i had more information on the Roux-En-Y performed on post ectomy patients These may not be very enlightening but here are some abstracts to look at: Roux-en-Y diversion for intractable reflux after esophagectomy. http://www.ncbi.nlm.nih.gov/pubmed/19049765 Roux-en-Y reconstruction for severe postoperative duodenogastric reflux disease. http://www.ncbi.nlm.nih.gov/pubmed/2357049 Variations of it can also be used instead of a myotomy or esophagectomy. Cardioplasty and Roux-en-Y partial gastrectomy (Serra-Dória procedure) for reoperation of achalasia http://www.scielo.br/scielo.php?script=sci_arttext & pid=S0004-28032004000300004 Endoscopic and histologic evaluation of advanced megaesophagus after esophagocardioplasty, vagotomy-antrectomy and roux-en-Y gastrojejunostomy (Serra Dória operation). http://www.ncbi.nlm.nih.gov/pubmed/16336605 Esophagocardioplasty, vagotomy-antrectomy and Roux-en-Y gastrojejunostomy: indication in cases with severe esophageal motor disfunction. http://www.ncbi.nlm.nih.gov/pubmed/9595236 Esophagogastro-Roux-en-Y jejunostomy: a surgical option in recurrent achalasia? Case report and review of the literature. http://www.ncbi.nlm.nih.gov/pubmed/17939430 Inversed Y cardioplasty plus a truncal vagotomy-antrectomy and a Roux-en-Y gastrojejunostomy performed in patients with stricture of the esophagogastric junction after a failed cardiomyotomy or endoscopic procedure in patients with achalasia of the esophagus. http://www.ncbi.nlm.nih.gov/pubmed/19903194 Laparoscopic cardioplasty to avoid esophageal resection in patient not responsive to Heller myotomy. http://www.ncbi.nlm.nih.gov/pubmed/17532444 notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 2, 2011 Report Share Posted March 2, 2011 Thank you Notan for the links in your recent post for Roux-En-Y surgery for reflux in post ectomy patients. I am trying to research as much as i can about this operation before i see surgeon in clinic on May16th to discuss surgical treatment for my severe reflux. Of course how big an operation and the approach depends on the damage caused by the reflux as will be seen in the endoscopy to be done on March 21st. The more informed i shall be the better i shall be to make the desicion about going ahead with it. So any more info that you can pass onto me the better and more for me to read. Thank you. from the UK From: notan ostrich <notan_ostrich@...> achalasia Sent: Tuesday, March 1, 2011 5:48 PM Subject: Re: Joe's Story  wrote: > I wish that i had more information on the Roux-En-Y performed on post ectomy patients These may not be very enlightening but here are some abstracts to look at: Roux-en-Y diversion for intractable reflux after esophagectomy. http://www.ncbi.nlm.nih.gov/pubmed/19049765 Roux-en-Y reconstruction for severe postoperative duodenogastric reflux disease. http://www.ncbi.nlm.nih.gov/pubmed/2357049 Variations of it can also be used instead of a myotomy or esophagectomy. Cardioplasty and Roux-en-Y partial gastrectomy (Serra-Dória procedure) for reoperation of achalasia http://www.scielo.br/scielo.php?script=sci_arttext & pid=S0004-28032004000300004 Endoscopic and histologic evaluation of advanced megaesophagus after esophagocardioplasty, vagotomy-antrectomy and roux-en-Y gastrojejunostomy (Serra Dória operation). http://www.ncbi.nlm.nih.gov/pubmed/16336605 Esophagocardioplasty, vagotomy-antrectomy and Roux-en-Y gastrojejunostomy: indication in cases with severe esophageal motor disfunction. http://www.ncbi.nlm.nih.gov/pubmed/9595236 Esophagogastro-Roux-en-Y jejunostomy: a surgical option in recurrent achalasia? Case report and review of the literature. http://www.ncbi.nlm.nih.gov/pubmed/17939430 Inversed Y cardioplasty plus a truncal vagotomy-antrectomy and a Roux-en-Y gastrojejunostomy performed in patients with stricture of the esophagogastric junction after a failed cardiomyotomy or endoscopic procedure in patients with achalasia of the esophagus. http://www.ncbi.nlm.nih.gov/pubmed/19903194 Laparoscopic cardioplasty to avoid esophageal resection in patient not responsive to Heller myotomy. http://www.ncbi.nlm.nih.gov/pubmed/17532444 notan Quote Link to comment Share on other sites More sharing options...
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