Guest guest Posted March 20, 2012 Report Share Posted March 20, 2012 I've been suffering from esophageal spasms ever since having nissen fundoplication & hiatal hernia surgery on Oct 26, 2009. I am currently doctoring at OSU & have tried many drugs to prevent the spasms. Also, no pain medications seems to help once I get them. I saw my doctor last Monday & they have referred me to Dr who is a surgeon. They want his opinion about going in & possibly: #1: clipping nerves in my esophagus #2: making a hole in the side of my esophagus & going down next to it (doctor mentioned achalasia here) #3: removing esophagus & pulling up the stomach #4: undoing the nissen I'm looking for feedback on any of these procedures and/or Dr . I was fortunate enough to get an appointment for next Monday the 26th. Thank you, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2012 Report Share Posted March 20, 2012 Hi , I was about to have the fundo done when it got discovered I have A. Doing the fundo by itself would have been very wrong and the opposite to what is required with A. > > I've been suffering from esophageal spasms ever since having nissen fundoplication & hiatal hernia surgery on Oct 26, 2009. I am currently doctoring at OSU & have tried many drugs to prevent the spasms. Also, no pain medications seems to help once I get them. I saw my doctor last Monday & they have referred me to Dr who is a surgeon. They want his opinion about going in & possibly: > #1: clipping nerves in my esophagus > #2: making a hole in the side of my esophagus & going down next to it (doctor mentioned achalasia here) > #3: removing esophagus & pulling up the stomach > #4: undoing the nissen > > I'm looking for feedback on any of these procedures and/or Dr . I was fortunate enough to get an appointment for next Monday the 26th. > > Thank you, > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2012 Report Share Posted March 20, 2012 Hello lindsay, It wouldn't be the first time doing a procedure before or after a prerequisite sequence is very wrong. But let's stick to 's questions 1. Severing the Vagus nerve is an option to reduce acid reflux 2. Never heard this one before. I would assume if achalaia were Dx'ed, cutting a hole in the esophagus would be a direct means of inducing infection into the chest cavity. 3. The gastric pull-up is usually performed after most other procedures/surgeries fail. The vagus nerve is sometimes addressed st this point. ly I wouldn't want an open conduit channeling feculent and purge, complicating pulmonary problems. 4. Undoing the Nissan. It sounds like 's doctors are dealing with achalsia in a haphazard, piece-meal approach. I will also attest to others interested that pain management was infinitely better for managing symptoms and improving my quality of life for many years than all these basic surgical manipulations of the LES and esophagus. GI's and surgeons won't tell you this because it isn't in their sphere of influence or doesn't coincide with their opiophobia and opioignorance. And now, without it, my current corpse, wasting-away appearnce must be a " wonderful " outcome for all the GIs and surgeon's handiwork. , be careful which way you choose, since much of achalasia treatments are irreversible. Steve > > > > I've been suffering from esophageal spasms ever since having nissen fundoplication & hiatal hernia surgery on Oct 26, 2009. I am currently doctoring at OSU & have tried many drugs to prevent the spasms. Also, no pain medications seems to help once I get them. I saw my doctor last Monday & they have referred me to Dr who is a surgeon. They want his opinion about going in & possibly: > > #1: clipping nerves in my esophagus > > #2: making a hole in the side of my esophagus & going down next to it (doctor mentioned achalasia here) > > #3: removing esophagus & pulling up the stomach > > #4: undoing the nissen > > > > I'm looking for feedback on any of these procedures and/or Dr . I was fortunate enough to get an appointment for next Monday the 26th. > > > > Thank you, > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2012 Report Share Posted March 21, 2012 I've never been diagnosed with A. I've had 3 menometry's at 3 different facilities & each time they said it wasn't A. I'm drawing a blank as to the name of it but last year I wore a tube in my nose & down my throat for 24 hrs. It was to detect acid in my system but none was located. Of course I had a severe spasm attack only 13 hrs after removal of the thing. Some of the discomfort I experience in my throat I want to say is a burning feeling but I hesitate to say it is acid reflux or heartburn. All those years I suffered from acid reflux I never once felt heartburn, I only ever got slammed with the awful attacks that came one after another, sometimes 7-10 in a row until I couldn't take it any longer & had to drive to the hospital for a GI cocktail. I told my husband once that I would rather go through labor it hurt so bad. At least I got something beautiful after the ordeal was over.  ________________________________ From: nailheader <stevenakamichi@...> achalasia Sent: Tuesday, March 20, 2012 10:40 PM Subject: Re: Esophageal Surgeries  Hello lindsay, It wouldn't be the first time doing a procedure before or after a prerequisite sequence is very wrong. But let's stick to 's questions 1. Severing the Vagus nerve is an option to reduce acid reflux 2. Never heard this one before. I would assume if achalaia were Dx'ed, cutting a hole in the esophagus would be a direct means of inducing infection into the chest cavity. 3. The gastric pull-up is usually performed after most other procedures/surgeries fail. The vagus nerve is sometimes addressed st this point. ly I wouldn't want an open conduit channeling feculent and purge, complicating pulmonary problems. 4. Undoing the Nissan. It sounds like 's doctors are dealing with achalsia in a haphazard, piece-meal approach. I will also attest to others interested that pain management was infinitely better for managing symptoms and improving my quality of life for many years than all these basic surgical manipulations of the LES and esophagus. GI's and surgeons won't tell you this because it isn't in their sphere of influence or doesn't coincide with their opiophobia and opioignorance. And now, without it, my current corpse, wasting-away appearnce must be a " wonderful " outcome for all the GIs and surgeon's handiwork. , be careful which way you choose, since much of achalasia treatments are irreversible. Steve > > > > I've been suffering from esophageal spasms ever since having nissen fundoplication & hiatal hernia surgery on Oct 26, 2009. I am currently doctoring at OSU & have tried many drugs to prevent the spasms. Also, no pain medications seems to help once I get them. I saw my doctor last Monday & they have referred me to Dr who is a surgeon. They want his opinion about going in & possibly: > > #1: clipping nerves in my esophagus > > #2: making a hole in the side of my esophagus & going down next to it (doctor mentioned achalasia here) > > #3: removing esophagus & pulling up the stomach > > #4: undoing the nissen > >  > > I'm looking for feedback on any of these procedures and/or Dr . I was fortunate enough to get an appointment for next Monday the 26th. > >  > > Thank you, > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2012 Report Share Posted March 25, 2012 Westerdes wrote: > > #1: clipping nerves in my esophagus > The clipping of nerve can get results. Cut nerves, actually the cut axons of nerves, sometimes grow back. > #2: making a hole in the side of my esophagus & going down next to it > (doctor mentioned achalasia here) > Not sure, but he may be referring to POEM or another similar type of endoscopic surgery where they tunnel between the layers of the esophageal tissue to make a myotomy. The myotomy could be a long one along more of the esophagus than a heller myotomy if it is for spasms above the LES. This is new promising tech. > #3: removing esophagus & pulling up the stomach > This would be the desperate or last option for most people, but generally very effective with some side effects that take some getting used to. > #4: undoing the nissen > I think this is kind of a shot in the dark for spasms but worth considering your surgeons opinion on it. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 1, 2012 Report Share Posted April 1, 2012 I had my visit with the surgeon on Monday, March 26th. He said that none of these suggestions would work for me. I felt very depressed during my appointment, very let down. He did order a barium swallow which I have had before. Lucky for me though I had not eaten anything yet & they were able to do the test that day. At practically $4.00 a gal for gas, I hated to drive there again just for the short test. The test went the same as before, except the surgeon ordered for me to swallow a solid this time. During the test I was given a small cookie. When I swallowed it the doctor asked me if I swallowed it yet which I replied yes. I could see it on the monitor kind of suspended in my esophagus. He then asked me to swallow some saliva which I did & it barely moved. I will say that this part of the test got me a little excited because it made me think that I had failed the test. I called on Thursday & was told that everything passed through my wrap fine but my esophagus was not functioning property. The nurse stated it was having motility problems & that the surgeon would speak with me about it at my next visit on April 9th. Now the waiting game again to see if there is anything that can be done.  ________________________________ From: notan ostrich <notan_ostrich@...> achalasia Sent: Sunday, March 25, 2012 7:43 PM Subject: Re: Esophageal Surgeries  Westerdes wrote: > > #1: clipping nerves in my esophagus > The clipping of nerve can get results. Cut nerves, actually the cut axons of nerves, sometimes grow back. > #2: making a hole in the side of my esophagus & going down next to it > (doctor mentioned achalasia here) > Not sure, but he may be referring to POEM or another similar type of endoscopic surgery where they tunnel between the layers of the esophageal tissue to make a myotomy. The myotomy could be a long one along more of the esophagus than a heller myotomy if it is for spasms above the LES. This is new promising tech. > #3: removing esophagus & pulling up the stomach > This would be the desperate or last option for most people, but generally very effective with some side effects that take some getting used to. > #4: undoing the nissen > I think this is kind of a shot in the dark for spasms but worth considering your surgeons opinion on it. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2012 Report Share Posted April 3, 2012 wrote: > > ... The nurse stated it was having motility problems & that the > surgeon would speak with me about it at my next visit on April 9th. > Now the waiting game again to see if there is anything that can be done. > He may want to try to reduce the obstruction at the LES first to see if that helps with the other problems. notan Quote Link to comment Share on other sites More sharing options...
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