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Re: RichChicago!

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Julee,

I am glad to hear how well things worked out for you. (It actually made me feel

better to read what you wrote.)

I agree with what you have written. I didn't mean to suggest that achalasia

sufferers opt for dilation over surgery but rather that they take steps sooner

than later to improve swallowing (possibly lessening esophageal stretching)

instead of waiting and doing nothing (which is what I did).

My previous GI doc believed that dilating was the " way to go " . According to

him, success rates 5-10 years post-dilatation were on par with myotomies. He

was a skilled clinician as well as a " paper writer " and may well have had data

to support such a claim. However, I am not so sure I agree with him. (He is

not a surgeon.)

As it turned out, he was not willing to give me " dilation after dilation " as it

would have offered me no additional improvement.

Of course, Botox is the big no-no. If I heard right, my surgeon implied that

that would have been a deal-breaker (no myotomy possible due to too much scar

tissue).

--Rich [Chicago]

> >

> > Have you had a myotomy before? I think this will be a HUGE part of your

> >decision as 2nd myo's seem to be far less effective and for a shorter period

of

> >time. Maybe I'm wrong but I can't think of anyone who's had a 2nd and done

well

> >for many years.

> >

> > ~ in NC

> >

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