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Dilatations and 14 y/o

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We went down to Chicago to meet with Dr. Patti on Monday. He looked at records

that Childrens Hosp. sent and told me because of the rarity of achalashia not

everyone knows how to do a proper dilatation. He gave me a name of a Doc at

Temple University who is an expert if I chose to go that route. He also

mentioned he could possibly repair the Heller or he would have to do a different

surgery (cant remember procedure..stretching esphogus...). He said he would be

willing to do the surgery if we chose to go that route. I have a few questions

maybe you could help me with.

1-Is it possible to have achalasia and not lose weight? At the moment she is not

losing weight although since her diet mainly consists of high carbs. She is

vomiting and informed me tonight that it is getting worse.

2-She does not want another dilatation. She has had 3 and is convinced they do

not work. She wants surgery so she can be normal like she was when the Heller

was working the 9 mos.

My thoughts are to go to Temple and get a proper dilatation to see if it works.

How many surgeries can you get with this disease before you exhaust all your

options? I guess I am thinking to get the surgery when there is no other

alternative.

My daughter doesnt always eat the correct things and doesnt always chew as she

should as she is hungry. I talked to her about eating late but sometimes she

sneaks food into her bedroom. All these I attribute to her age.

What are your thoughts?

Thanks

Maureen

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