Re: few more ectomy questions

[Guest guest]

Stefani,

I had two open myotomies that both failed, both on my left side. I starved and

struggled until I was 40. I had my esophagectomy almost 4 years ago on my right

side. I am also missing a rib on my left side. It has been the best decision

of my life! I can eat or drink anything I please!

Good luck

achalasia

From: fattsolove@...

Date: Thu, 19 May 2011 21:14:54 +0000

Subject: few more ectomy questions

couple more questions for you guys.

What makes you a good candidate for a laperscopically esophagectomy?

Or if I went with the Transthoracic esophagectomy, Thats just one incision in

the chest right?

The reason why I ask is because I've had both my myotomys that way (through my

left chest). I'm missing a rib so I figured if I already have a hole there would

they just use the same entry point? I like the idea of doing the lap kind

because there would be less down time but would I be a bad candidate because of

old scare tissue?

Just curious. Im interviewing my first surgeon tomorrow but wanted to know your

thoughts as well.

Thanks.

Stefani So Cal

[Guest guest]

Hi,

I had both of my hellers done Transthoracic and had one incision. When Dr. Maish

and I spoke how we were going to handle the esophagectomy, she told me that I

had Alot of scare tissue and she might not be able to do it lapro. I believe

that it is better to do it Lapro, if you can because of recovery is about half

the time. Dr. Maish was able to take my E out Lapercopically in Dec. and I have

been useing Vit. e on the scare. Not that I'll be doing any Sports Illustrated

swimsuit issue, but I have to say it does look much better and it has only been

5 months.

If you use Dr. Maish,she is great, she might tell you that she might not be able

to make the decision until she gets in, which for me was fine, it all worked and

have been so happy with the results.

Hope all goes well and would love to hear how your appt. goes with her.

All the best

________________________________

From: fattsolove <fattsolove@...>

achalasia

Sent: Thu, May 19, 2011 2:14:54 PM

Subject: few more ectomy questions

couple more questions for you guys.

What makes you a good candidate for a laperscopically esophagectomy?

Or if I went with the Transthoracic esophagectomy, Thats just one incision in

the chest right?

The reason why I ask is because I've had both my myotomys that way (through my

left chest). I'm missing a rib so I figured if I already have a hole there would

they just use the same entry point? I like the idea of doing the lap kind

because there would be less down time but would I be a bad candidate because of

old scare tissue?

Just curious. Im interviewing my first surgeon tomorrow but wanted to know your

thoughts as well.

Thanks.

Stefani So Cal

[Guest guest]

Hi

I had my operation done through my left side when the surgeon opened the scar up

from my myotomy. my scar runs from the top of the ribcage near my spine round

the left side to where my ribs join near the sternum and down to the

bellybutton. If you have a scar there already from a previous operation they

will seriously consider using this entry for the oesophagectomy. So that is one

long incision.

I don't rightly know who makes a good candidate for a lap oesophagectomy except

that maybe there is no scar tissue from previous operations in the area.

Good Luck for today.

from the UK

From: fattsolove <fattsolove@...>

achalasia

Sent: Thursday, May 19, 2011 10:14 PM

Subject: few more ectomy questions

 

couple more questions for you guys.

What makes you a good candidate for a laperscopically esophagectomy?

Or if I went with the Transthoracic esophagectomy, Thats just one incision in

the chest right?

The reason why I ask is because I've had both my myotomys that way (through my

left chest). I'm missing a rib so I figured if I already have a hole there would

they just use the same entry point? I like the idea of doing the lap kind

because there would be less down time but would I be a bad candidate because of

old scare tissue?

Just curious. Im interviewing my first surgeon tomorrow but wanted to know your

thoughts as well.

Thanks.

Stefani So Cal

[Guest guest]

Hopefully you'll catch this before your appt.

see below...

>

> couple more questions for you guys.

>

> What makes you a good candidate for a laperscopically esophagectomy?

**only your surgeon can really tell you and surgeons seem to have their way of

doing the surgery - for instance, I spoke with both Dr. L and Dr. Rice when

deciding and Dr. L does the thoro/lapro combo and Dr. Rice does lap surgery -

there are pros and cons of each and we tend to recommend that you choose the

surgeon you like and then they choose how to do your surgery - does that make

sense? If you love Dr. Maish and she does a thorocotomy - then have the

thorocotomy - in the long run, you want them to do what they think is best for

you.

>

> Or if I went with the Transthoracic esophagectomy, Thats just one incision in

the chest right?

** one incision in my chest and about 4-5 lap incisions AND a chest tube AND a

feeding tube - I don't want to freak you out but you need to know - you will

wake up with more tubes and things coming out of you... I think I had my

arterial line pulled next day, catheter and NG tube pulled on day 3, IV pulled

shortly after that and original chest tube pulled on day 4 (I think) so they are

gone pretty quickly

>

> The reason why I ask is because I've had both my myotomys that way (through my

left chest). I'm missing a rib so I figured if I already have a hole there would

they just use the same entry point? I like the idea of doing the lap kind

because there would be less down time but would I be a bad candidate because of

old scare tissue?

** Makes sense to at least try to use that spot.

>

> Just curious. Im interviewing my first surgeon tomorrow but wanted to know

your thoughts as well.

>

** good luck with your interview - keep us posted.

**Also, you've already had some good explanations of dumping - also know that

it's pretty controllable - it was nasty in the beginning but after about the

first 6 months - it only happens rarely to me now as I've learned what my body

can tolerate - as Tim said, WAY better than A!

> Thanks.

>

> Stefani So Cal

>

[Guest guest]

Thanks so much. Very informative

> >

> > couple more questions for you guys.

> >

> > What makes you a good candidate for a laperscopically esophagectomy?

> **only your surgeon can really tell you and surgeons seem to have their way of

doing the surgery - for instance, I spoke with both Dr. L and Dr. Rice when

deciding and Dr. L does the thoro/lapro combo and Dr. Rice does lap surgery -

there are pros and cons of each and we tend to recommend that you choose the

surgeon you like and then they choose how to do your surgery - does that make

sense? If you love Dr. Maish and she does a thorocotomy - then have the

thorocotomy - in the long run, you want them to do what they think is best for

you.

>

> >

> > Or if I went with the Transthoracic esophagectomy, Thats just one incision

in the chest right?

>

> ** one incision in my chest and about 4-5 lap incisions AND a chest tube AND a

feeding tube - I don't want to freak you out but you need to know - you will

wake up with more tubes and things coming out of you... I think I had my

arterial line pulled next day, catheter and NG tube pulled on day 3, IV pulled

shortly after that and original chest tube pulled on day 4 (I think) so they are

gone pretty quickly

> >

> > The reason why I ask is because I've had both my myotomys that way (through

my left chest). I'm missing a rib so I figured if I already have a hole there

would they just use the same entry point? I like the idea of doing the lap kind

because there would be less down time but would I be a bad candidate because of

old scare tissue?

>

> ** Makes sense to at least try to use that spot.

> >

> > Just curious. Im interviewing my first surgeon tomorrow but wanted to know

your thoughts as well.

> >

> ** good luck with your interview - keep us posted.

>

> **Also, you've already had some good explanations of dumping - also know that

it's pretty controllable - it was nasty in the beginning but after about the

first 6 months - it only happens rarely to me now as I've learned what my body

can tolerate - as Tim said, WAY better than A!

>

> > Thanks.

> >

> > Stefani So Cal

> >

>