RE: 'perforation during dilatation' - confusions

[Guest guest]

Hi Hassan. I had a dilatation in june this year and may require more in the

coming months. During the dilatation in June the balloon exploded in the

stricture. And because they use a camera to place the balloon they were able to

see straight away if there was a perforation which there wasn & #39;t only severe

inflammation. Afterwards, I asked the GI doc specialist who did my dilatation

what would have been done if there was a perforation? He said that they would

have admitted me onto his ward and administered antibiotics through a line in my

arm and monitored me for a few days. All being well i would have gone home and

if things would have deteriorated they they would have operated to close the

rupture. Sorry that is all the info that i have for you. Hope it was of some

help. Are you going to have a dilatation done soon?

________________________________

From: Hassaan Tariq & lt;hassaan_st@... & gt;

achalasia

Sent: Tuesday, October 11, 2011 9:05 AM

Subject: & #39;perforation during dilatation & #39; - confusions

 

Hi,

Hope everyone is doing great. I have few questions regarding the possible

complication - perforation - during the dilatation process.

a) There is a chance/risk of perforation during the dilatation procedure,

however we have studied that first it is treated with the medication -

antibiotics - and if not successful then operation/surgery is performed. Thats

all what we normally read on websites, however i was wondering if that is how it

happens excatly?

Did you experience this complication during the dilatation? If yes, then how

it was treated?

c) How is it treated with the medications as i believe patient cant swallow the

tablets in this condition?

d) & #39;Surgey required to fix the rupture & #39; and heller myotomy - whats the

difference between these two?

Thanks and Regards

Hassaan

[Guest guest]

Hi ,

Thanks for the reply. My brother has dilatation tomorrow - he had his first

dilatation in Feb 2010. He has started having difficult in swallowing so doctor

recommended 2nd dilatation.

Regards

Hassaan

achalasia

From: christine.hulmes@...

Date: Tue, 11 Oct 2011 04:23:27 -0700

Subject: Re: 'perforation during dilatation' - confusions

Hi Hassan. I had a dilatation in june this year and may require more in the

coming months. During the dilatation in June the balloon exploded in the

stricture. And because they use a camera to place the balloon they were able to

see straight away if there was a perforation which there wasn & #39;t only severe

inflammation. Afterwards, I asked the GI doc specialist who did my dilatation

what would have been done if there was a perforation? He said that they would

have admitted me onto his ward and administered antibiotics through a line in my

arm and monitored me for a few days. All being well i would have gone home and

if things would have deteriorated they they would have operated to close the

rupture. Sorry that is all the info that i have for you. Hope it was of some

help. Are you going to have a dilatation done soon?

________________________________

From: Hassaan Tariq & lt;hassaan_st@... & gt;

achalasia

Sent: Tuesday, October 11, 2011 9:05 AM

Subject: & #39;perforation during dilatation & #39; - confusions

Hi,

Hope everyone is doing great. I have few questions regarding the possible

complication - perforation - during the dilatation process.

a) There is a chance/risk of perforation during the dilatation procedure,

however we have studied that first it is treated with the medication -

antibiotics - and if not successful then operation/surgery is performed. Thats

all what we normally read on websites, however i was wondering if that is how it

happens excatly?

Did you experience this complication during the dilatation? If yes, then how

it was treated?

c) How is it treated with the medications as i believe patient cant swallow the

tablets in this condition?

d) & #39;Surgey required to fix the rupture & #39; and heller myotomy - whats the

difference between these two?

Thanks and Regards

Hassaan

[Guest guest]

Hassaan wrote:

> a) There is a chance/risk of perforation during the dilatation

> procedure, however we have studied that first it is treated with the

> medication - antibiotics - and if not successful then

> operation/surgery is performed. Thats all what we normally read on

> websites, however i was wondering if that is how it happens excatly?

>

The risk of perforation should be considered but it is not large. Most

perforations are small and can be treated with antibiotics to avoid

infection and will heal on their own quickly. Sometime a perforation is

a larger tear in the esophagus that requires emergency surgery to fix

the tear.

> c) How is it treated with the medications as i believe patient cant

> swallow the tablets in this condition?

>

There are other ways to provide antibiotics so I would not worry about

tablets.

> d) 'Surgey required to fix the rupture' and heller myotomy - whats the

> difference between these two?

>

A rupture is a tear or hole in the esophagus through which the esophagus

can leak into the chest and cause infections. Surgery for a rupture

closes the tear. A myotomy is done to cut (-otomy) the muscle (my-)

layers at the LES, so the esophagus can empty into the stomach.

notan

[Guest guest]

Hi,

Today my brother had the dilatation (first dilatation was performed in feb 2010)

.... it seemed ok and there was no repture as well. Dr checked through endoscopy

and re-confirmed through xray. My brother didnt have anything solid till tonight

when he had a proper dinner. He felt the food got stuck ... and just now he had

a glass of water and had to throw it out. This is very confusing and

disappointing for us coz this dilatation was supposed to improve the situation

whereas it seems to have made it bad . What are your thoughts on this? Are

patients supposed to wait for few days before eating properly after dilatation?

regards

achalasia

From: notan_ostrich@...

Date: Wed, 12 Oct 2011 11:29:01 -0700

Subject: Re: 'perforation during dilatation' - confusions

Hassaan wrote:

> a) There is a chance/risk of perforation during the dilatation

> procedure, however we have studied that first it is treated with the

> medication - antibiotics - and if not successful then

> operation/surgery is performed. Thats all what we normally read on

> websites, however i was wondering if that is how it happens excatly?

>

The risk of perforation should be considered but it is not large. Most

perforations are small and can be treated with antibiotics to avoid

infection and will heal on their own quickly. Sometime a perforation is

a larger tear in the esophagus that requires emergency surgery to fix

the tear.

> c) How is it treated with the medications as i believe patient cant

> swallow the tablets in this condition?

>

There are other ways to provide antibiotics so I would not worry about

tablets.

> d) 'Surgey required to fix the rupture' and heller myotomy - whats the

> difference between these two?

>

A rupture is a tear or hole in the esophagus through which the esophagus

can leak into the chest and cause infections. Surgery for a rupture

closes the tear. A myotomy is done to cut (-otomy) the muscle (my-)

layers at the LES, so the esophagus can empty into the stomach.

notan

[Guest guest]

I can only speak for myself, but I always feel so crappy after my dilatations

that it takes me a good few days before I'm eating " meals " again.  I would ask

what he had in his " proper dinner " .  Also, despite others success with water

washing down some of their " stuck " feelings, I often have the worse feelings

with fluids.  I can get a lot of things down, but the second I take a drink, I

have to get rid of it all.  Maybe that's what he's feeling?

k

________________________________

From: Hassaan Tariq <hassaan_st@...>

notan_ostrich@...; achalasia

Sent: Thursday, October 13, 2011 5:00 PM

Subject: RE: 'perforation during dilatation' - confusions

Hi,

Today my brother had the dilatation (first dilatation was performed in feb 2010)

.... it seemed ok and there was no repture as well. Dr checked through endoscopy

and re-confirmed through xray. My brother didnt have anything solid till tonight

when he had a proper dinner. He felt the food got stuck ... and just now he had

a glass of water and had to throw it out. This is very confusing and

disappointing for us coz this dilatation was supposed to improve the situation

whereas it seems to have made it bad . What are your thoughts on this? Are

patients supposed to wait for few days before eating properly after dilatation?

regards

achalasia

From: notan_ostrich@...

Date: Wed, 12 Oct 2011 11:29:01 -0700

Subject: Re: 'perforation during dilatation' - confusions

 

Hassaan wrote:

> a) There is a chance/risk of perforation during the dilatation

> procedure, however we have studied that first it is treated with the

> medication - antibiotics - and if not successful then

> operation/surgery is performed. Thats all what we normally read on

> websites, however i was wondering if that is how it happens excatly?

>

The risk of perforation should be considered but it is not large. Most

perforations are small and can be treated with antibiotics to avoid

infection and will heal on their own quickly. Sometime a perforation is

a larger tear in the esophagus that requires emergency surgery to fix

the tear.

> c) How is it treated with the medications as i believe patient cant

> swallow the tablets in this condition?

>

There are other ways to provide antibiotics so I would not worry about

tablets.

> d) 'Surgey required to fix the rupture' and heller myotomy - whats the

> difference between these two?

>

A rupture is a tear or hole in the esophagus through which the esophagus

can leak into the chest and cause infections. Surgery for a rupture

closes the tear. A myotomy is done to cut (-otomy) the muscle (my-)

layers at the LES, so the esophagus can empty into the stomach.

notan

[Guest guest]

Yeah i guess something like that. he had water twice and had to trow it out. he

had a proper chinese food dinner - chicken, rice, prawns, noodles etc. i hav

asked him to keep it under observation for atleast one more day

regards

achalasia

From: kimmydawn42@...

Date: Thu, 13 Oct 2011 13:05:10 -0700

Subject: Re: 'perforation during dilatation' - confusions

I can only speak for myself, but I always feel so crappy after my dilatations

that it takes me a good few days before I'm eating " meals " again. I would ask

what he had in his " proper dinner " . Also, despite others success with water

washing down some of their " stuck " feelings, I often have the worse feelings

with fluids. I can get a lot of things down, but the second I take a drink, I

have to get rid of it all. Maybe that's what he's feeling?

k

________________________________

From: Hassaan Tariq <hassaan_st@...>

notan_ostrich@...; achalasia

Sent: Thursday, October 13, 2011 5:00 PM

Subject: RE: 'perforation during dilatation' - confusions

Hi,

Today my brother had the dilatation (first dilatation was performed in feb 2010)

.... it seemed ok and there was no repture as well. Dr checked through endoscopy

and re-confirmed through xray. My brother didnt have anything solid till tonight

when he had a proper dinner. He felt the food got stuck ... and just now he had

a glass of water and had to throw it out. This is very confusing and

disappointing for us coz this dilatation was supposed to improve the situation

whereas it seems to have made it bad . What are your thoughts on this? Are

patients supposed to wait for few days before eating properly after dilatation?

regards

achalasia

From: notan_ostrich@...

Date: Wed, 12 Oct 2011 11:29:01 -0700

Subject: Re: 'perforation during dilatation' - confusions

Hassaan wrote:

> a) There is a chance/risk of perforation during the dilatation

> procedure, however we have studied that first it is treated with the

> medication - antibiotics - and if not successful then

> operation/surgery is performed. Thats all what we normally read on

> websites, however i was wondering if that is how it happens excatly?

>

The risk of perforation should be considered but it is not large. Most

perforations are small and can be treated with antibiotics to avoid

infection and will heal on their own quickly. Sometime a perforation is

a larger tear in the esophagus that requires emergency surgery to fix

the tear.

> c) How is it treated with the medications as i believe patient cant

> swallow the tablets in this condition?

>

There are other ways to provide antibiotics so I would not worry about

tablets.

> d) 'Surgey required to fix the rupture' and heller myotomy - whats the

> difference between these two?

>

A rupture is a tear or hole in the esophagus through which the esophagus

can leak into the chest and cause infections. Surgery for a rupture

closes the tear. A myotomy is done to cut (-otomy) the muscle (my-)

layers at the LES, so the esophagus can empty into the stomach.

notan

[Guest guest]

I know some people here have commented on problems with rice as well.  Hopefully

he is feeling better soon.

k

________________________________

From: Hassaan Tariq <hassaan_st@...>

achalasia

Sent: Thursday, October 13, 2011 5:09 PM

Subject: RE: 'perforation during dilatation' - confusions

Yeah i guess something like that. he had water twice and had to trow it out. he

had a proper chinese food dinner - chicken, rice, prawns, noodles etc. i hav

asked him to keep it under observation for atleast one more day

regards

achalasia

From: kimmydawn42@...

Date: Thu, 13 Oct 2011 13:05:10 -0700

Subject: Re: 'perforation during dilatation' - confusions

 

I can only speak for myself, but I always feel so crappy after my dilatations

that it takes me a good few days before I'm eating " meals " again.  I would ask

what he had in his " proper dinner " .  Also, despite others success with water

washing down some of their " stuck " feelings, I often have the worse feelings

with fluids.  I can get a lot of things down, but the second I take a drink, I

have to get rid of it all.  Maybe that's what he's feeling?

k

________________________________

From: Hassaan Tariq <hassaan_st@...>

notan_ostrich@...; achalasia

Sent: Thursday, October 13, 2011 5:00 PM

Subject: RE: 'perforation during dilatation' - confusions

Hi,

Today my brother had the dilatation (first dilatation was performed in feb 2010)

.... it seemed ok and there was no repture as well. Dr checked through endoscopy

and re-confirmed through xray. My brother didnt have anything solid till tonight

when he had a proper dinner. He felt the food got stuck ... and just now he had

a glass of water and had to throw it out. This is very confusing and

disappointing for us coz this dilatation was supposed to improve the situation

whereas it seems to have made it bad . What are your thoughts on this? Are

patients supposed to wait for few days before eating properly after dilatation?

regards

achalasia

From: notan_ostrich@...

Date: Wed, 12 Oct 2011 11:29:01 -0700

Subject: Re: 'perforation during dilatation' - confusions

 

Hassaan wrote:

> a) There is a chance/risk of perforation during the dilatation

> procedure, however we have studied that first it is treated with the

> medication - antibiotics - and if not successful then

> operation/surgery is performed. Thats all what we normally read on

> websites, however i was wondering if that is how it happens excatly?

>

The risk of perforation should be considered but it is not large. Most

perforations are small and can be treated with antibiotics to avoid

infection and will heal on their own quickly. Sometime a perforation is

a larger tear in the esophagus that requires emergency surgery to fix

the tear.

> c) How is it treated with the medications as i believe patient cant

> swallow the tablets in this condition?

>

There are other ways to provide antibiotics so I would not worry about

tablets.

> d) 'Surgey required to fix the rupture' and heller myotomy - whats the

> difference between these two?

>

A rupture is a tear or hole in the esophagus through which the esophagus

can leak into the chest and cause infections. Surgery for a rupture

closes the tear. A myotomy is done to cut (-otomy) the muscle (my-)

layers at the LES, so the esophagus can empty into the stomach.

notan

[Guest guest]

Question, why did he go with dilation versus other options? If he is young and

healthy, surgery provides better long term outcome Ziad

Sent from my HTC on the Now Network from Sprint!

----- Reply message -----

From: " Hassaan Tariq " <hassaan_st@...>

Date: Thu, Oct 13, 2011 16:09

Subject: 'perforation during dilatation' - confusions

<achalasia >

Yeah i guess something like that. he had water twice and had to trow it out. he

had a proper chinese food dinner - chicken, rice, prawns, noodles etc. i hav

asked him to keep it under observation for atleast one more day

regards

achalasia

From: kimmydawn42@...

Date: Thu, 13 Oct 2011 13:05:10 -0700

Subject: Re: 'perforation during dilatation' - confusions

I can only speak for myself, but I always feel so crappy after my dilatations

that it takes me a good few days before I'm eating " meals " again. I would ask

what he had in his " proper dinner " . Also, despite others success with water

washing down some of their " stuck " feelings, I often have the worse feelings

with fluids. I can get a lot of things down, but the second I take a drink, I

have to get rid of it all. Maybe that's what he's feeling?

k

________________________________

From: Hassaan Tariq <hassaan_st@...>

notan_ostrich@...; achalasia

Sent: Thursday, October 13, 2011 5:00 PM

Subject: RE: 'perforation during dilatation' - confusions

Hi,

Today my brother had the dilatation (first dilatation was performed in feb 2010)

.... it seemed ok and there was no repture as well. Dr checked through endoscopy

and re-confirmed through xray. My brother didnt have anything solid till tonight

when he had a proper dinner. He felt the food got stuck ... and just now he had

a glass of water and had to throw it out. This is very confusing and

disappointing for us coz this dilatation was supposed to improve the situation

whereas it seems to have made it bad . What are your thoughts on this? Are

patients supposed to wait for few days before eating properly after dilatation?

regards

achalasia

From: notan_ostrich@...

Date: Wed, 12 Oct 2011 11:29:01 -0700

Subject: Re: 'perforation during dilatation' - confusions

Hassaan wrote:

> a) There is a chance/risk of perforation during the dilatation

> procedure, however we have studied that first it is treated with the

> medication - antibiotics - and if not successful then

> operation/surgery is performed. Thats all what we normally read on

> websites, however i was wondering if that is how it happens excatly?

>

The risk of perforation should be considered but it is not large. Most

perforations are small and can be treated with antibiotics to avoid

infection and will heal on their own quickly. Sometime a perforation is

a larger tear in the esophagus that requires emergency surgery to fix

the tear.

> c) How is it treated with the medications as i believe patient cant

> swallow the tablets in this condition?

>

There are other ways to provide antibiotics so I would not worry about

tablets.

> d) 'Surgey required to fix the rupture' and heller myotomy - whats the

> difference between these two?

>

A rupture is a tear or hole in the esophagus through which the esophagus

can leak into the chest and cause infections. Surgery for a rupture

closes the tear. A myotomy is done to cut (-otomy) the muscle (my-)

layers at the LES, so the esophagus can empty into the stomach.

notan

[Guest guest]

It is not entirely correct that HM provides better long term outcome in younger

patients. The current evidence suggests that there is no difference between HM

and Dilatation in the long term. If you look up in Up To Date, the

recommendation is changing and Dilatation might be the first option. Of course

it is not a unanimous recommendation and the doctors would differ depending upon

their experience

anil

hassaan_st@...; achalasia

From: ziad_awad@...

Date: Thu, 13 Oct 2011 19:41:16 -0400

Subject: Re: 'perforation during dilatation' - confusions

Question, why did he go with dilation versus other options? If he is young

and healthy, surgery provides better long term outcome Ziad

Sent from my HTC on the Now Network from Sprint!

----- Reply message -----

From: " Hassaan Tariq " <hassaan_st@...>

Date: Thu, Oct 13, 2011 16:09

Subject: 'perforation during dilatation' - confusions

<achalasia >

Yeah i guess something like that. he had water twice and had to trow it out. he

had a proper chinese food dinner - chicken, rice, prawns, noodles etc. i hav

asked him to keep it under observation for atleast one more day

regards

achalasia

From: kimmydawn42@...

Date: Thu, 13 Oct 2011 13:05:10 -0700

Subject: Re: 'perforation during dilatation' - confusions

I can only speak for myself, but I always feel so crappy after my dilatations

that it takes me a good few days before I'm eating " meals " again. I would ask

what he had in his " proper dinner " . Also, despite others success with water

washing down some of their " stuck " feelings, I often have the worse feelings

with fluids. I can get a lot of things down, but the second I take a drink, I

have to get rid of it all. Maybe that's what he's feeling?

k

________________________________

From: Hassaan Tariq <hassaan_st@...>

notan_ostrich@...; achalasia

Sent: Thursday, October 13, 2011 5:00 PM

Subject: RE: 'perforation during dilatation' - confusions

Hi,

Today my brother had the dilatation (first dilatation was performed in feb 2010)

.... it seemed ok and there was no repture as well. Dr checked through endoscopy

and re-confirmed through xray. My brother didnt have anything solid till tonight

when he had a proper dinner. He felt the food got stuck ... and just now he had

a glass of water and had to throw it out. This is very confusing and

disappointing for us coz this dilatation was supposed to improve the situation

whereas it seems to have made it bad . What are your thoughts on this? Are

patients supposed to wait for few days before eating properly after dilatation?

regards

achalasia

From: notan_ostrich@...

Date: Wed, 12 Oct 2011 11:29:01 -0700

Subject: Re: 'perforation during dilatation' - confusions

Hassaan wrote:

> a) There is a chance/risk of perforation during the dilatation

> procedure, however we have studied that first it is treated with the

> medication - antibiotics - and if not successful then

> operation/surgery is performed. Thats all what we normally read on

> websites, however i was wondering if that is how it happens excatly?

>

The risk of perforation should be considered but it is not large. Most

perforations are small and can be treated with antibiotics to avoid

infection and will heal on their own quickly. Sometime a perforation is

a larger tear in the esophagus that requires emergency surgery to fix

the tear.

> c) How is it treated with the medications as i believe patient cant

> swallow the tablets in this condition?

>

There are other ways to provide antibiotics so I would not worry about

tablets.

> d) 'Surgey required to fix the rupture' and heller myotomy - whats the

> difference between these two?

>

A rupture is a tear or hole in the esophagus through which the esophagus

can leak into the chest and cause infections. Surgery for a rupture

closes the tear. A myotomy is done to cut (-otomy) the muscle (my-)

layers at the LES, so the esophagus can empty into the stomach.

notan

[Guest guest]

This happened to me when i had a dilatation in March this year and the balloon

burst. I couldn & #39;t swallow water even without it gurggling and coming back up

let alone a meal. I was told that after the balloon burst they checked that all

was ok and told me that because of the balloon bursting it had caused some

trauma with inflammation that would subside in a few days. And i must say that

after a few days things did get easier. So try and not worry things will settle.

What i did was stick to soups and such until i felt things get less raw if you

know what i mean.

________________________________

From: Hassaan Tariq & lt;hassaan_st@... & gt;

notan_ostrich@...; achalasia

Sent: Thursday, October 13, 2011 9:00 PM

Subject: RE: & #39;perforation during dilatation & #39; - confusions

Hi,

Today my brother had the dilatation (first dilatation was performed in feb 2010)

.... it seemed ok and there was no repture as well. Dr checked through endoscopy

and re-confirmed through xray. My brother didnt have anything solid till tonight

when he had a proper dinner. He felt the food got stuck ... and just now he had

a glass of water and had to throw it out. This is very confusing and

disappointing for us coz this dilatation was supposed to improve the situation

whereas it seems to have made it bad . What are your thoughts on this? Are

patients supposed to wait for few days before eating properly after dilatation?

regards

achalasia

From: notan_ostrich@...

Date: Wed, 12 Oct 2011 11:29:01 -0700

Subject: Re: & #39;perforation during dilatation & #39; - confusions

 

Hassaan wrote:

& gt; a) There is a chance/risk of perforation during the dilatation

& gt; procedure, however we have studied that first it is treated with the

& gt; medication - antibiotics - and if not successful then

& gt; operation/surgery is performed. Thats all what we normally read on

& gt; websites, however i was wondering if that is how it happens excatly?

& gt;

The risk of perforation should be considered but it is not large. Most

perforations are small and can be treated with antibiotics to avoid

infection and will heal on their own quickly. Sometime a perforation is

a larger tear in the esophagus that requires emergency surgery to fix

the tear.

& gt; c) How is it treated with the medications as i believe patient cant

& gt; swallow the tablets in this condition?

& gt;

There are other ways to provide antibiotics so I would not worry about

tablets.

& gt; d) & #39;Surgey required to fix the rupture & #39; and heller myotomy - whats

the

& gt; difference between these two?

& gt;

A rupture is a tear or hole in the esophagus through which the esophagus

can leak into the chest and cause infections. Surgery for a rupture

closes the tear. A myotomy is done to cut (-otomy) the muscle (my-)

layers at the LES, so the esophagus can empty into the stomach.

notan

[Guest guest]

Hi,

Yeah i think that was probably the case as he is now able to eat his food. We

have been asked by the doctor to see him after a week to let him know the

progress. Dilatation or a surgery - what i have noticed that in US probably the

preferred method is surgery whereas in some parts of the world dilatation

remains to be the first method to treat this disorder. This was his second

dilatation, i hope this will last long - first dilatation worked for atleast one

year and 8 months.

Although doctor confirmed there was no rapture through another endoscopy and

re-confirmed by x-ray result, i was wondering what if the rapture could still be

undetected and in that case how would we would come to know?

Thanks for the valuable feedback

Regards

achalasia

From: christine.hulmes@...

Date: Fri, 14 Oct 2011 00:58:59 -0700

Subject: Re: 'perforation during dilatation' - confusions

This happened to me when i had a dilatation in March this year and the

balloon burst. I couldn & #39;t swallow water even without it gurggling and coming

back up let alone a meal. I was told that after the balloon burst they checked

that all was ok and told me that because of the balloon bursting it had caused

some trauma with inflammation that would subside in a few days. And i must say

that after a few days things did get easier. So try and not worry things will

settle. What i did was stick to soups and such until i felt things get less raw

if you know what i mean.

________________________________

From: Hassaan Tariq & lt;hassaan_st@... & gt;

notan_ostrich@...; achalasia

Sent: Thursday, October 13, 2011 9:00 PM

Subject: RE: & #39;perforation during dilatation & #39; - confusions

Hi,

Today my brother had the dilatation (first dilatation was performed in feb 2010)

.... it seemed ok and there was no repture as well. Dr checked through endoscopy

and re-confirmed through xray. My brother didnt have anything solid till tonight

when he had a proper dinner. He felt the food got stuck ... and just now he had

a glass of water and had to throw it out. This is very confusing and

disappointing for us coz this dilatation was supposed to improve the situation

whereas it seems to have made it bad . What are your thoughts on this? Are

patients supposed to wait for few days before eating properly after dilatation?

regards

achalasia

From: notan_ostrich@...

Date: Wed, 12 Oct 2011 11:29:01 -0700

Subject: Re: & #39;perforation during dilatation & #39; - confusions

Hassaan wrote:

& gt; a) There is a chance/risk of perforation during the dilatation

& gt; procedure, however we have studied that first it is treated with the

& gt; medication - antibiotics - and if not successful then

& gt; operation/surgery is performed. Thats all what we normally read on

& gt; websites, however i was wondering if that is how it happens excatly?

& gt;

The risk of perforation should be considered but it is not large. Most

perforations are small and can be treated with antibiotics to avoid

infection and will heal on their own quickly. Sometime a perforation is

a larger tear in the esophagus that requires emergency surgery to fix

the tear.

& gt; c) How is it treated with the medications as i believe patient cant

& gt; swallow the tablets in this condition?

& gt;

There are other ways to provide antibiotics so I would not worry about

tablets.

& gt; d) & #39;Surgey required to fix the rupture & #39; and heller myotomy - whats

the

& gt; difference between these two?

& gt;

A rupture is a tear or hole in the esophagus through which the esophagus

can leak into the chest and cause infections. Surgery for a rupture

closes the tear. A myotomy is done to cut (-otomy) the muscle (my-)

layers at the LES, so the esophagus can empty into the stomach.

notan