Re: Conversation between doctors about dilation vs myotomy

[Guest guest]

Hi Notan...thanks for all the helpful posts......I had my first dilation last

tuesday..apparently it was not that successful per barium testing.....but i have

not thrown up since and feel better......any info on if I should get another

dilation??   I feel good now..any info on timing of redilations??  Hope you

are

having a greqat weekend... 

________________________________

From: notan ostrich <notan_ostrich@...>

achalasia

Sent: Sun, May 27, 2012 1:53:16 PM

Subject: Conversation between doctors about dilation vs myotomy

 

Subject line says it all:

Pneumodilation versus Laparoscopic Heller's Myotomy for Achalasia

http://www.nejm.org/doi/full/10.1056/NEJMc1106642

The discussion was in response to the publication in May of:

Pneumatic dilation versus laparoscopic Heller's myotomy for idiopathic

achalasia.

http://www.ncbi.nlm.nih.gov/pubmed/21561346?dopt=Abstract

Full article here:

http://www.nejm.org/doi/full/10.1056/NEJMoa1010502#t=articleTop

" Conclusions: After 2 years of follow-up, LHM, as compared with

pneumatic dilation, was not associated with superior rates of

therapeutic success. "

It should be noted that the dilation they refer to is not necessarily a

single dilation but may have required three separate sessions before

being successful and the follow-up is not long-term.

notan

[Guest guest]

@ and @Notan,

I was diagnosed in 1978, while in college. At the end of my semester in May of

1979, I began the series of (3) three pneumatic dilations. Those were spaced

about 3 to 6 months apart. That lasted me until March 1999. I then had the

Myotomy without wrap/fundo. I have the vigorous version,

As long as I take my anti-spasm medication, anti-acid, low dosage

anti-anxiety/depression and see a pain control I do quiet well. If I eat the

wrong food , then of course I pay for it with lots of spasms and pain. When I

was diagnosed, there was not as much known about achalasia as there is today.

Hope this has offered someone considering which treatment some insite.

Sharon Cline

> From: linda preato <linda.preato@...>

> Subject: Re: Conversation between doctors about dilation vs

myotomy

> achalasia

> Date: Sunday, May 27, 2012, 8:01 PM

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> Hi Notan...thanks for all the helpful posts......I

> had my first dilation last

>

> tuesday..apparently it was not that successful per barium

> testing.....but i have

>

> not thrown up since and feel better......any info on if I

> should get another

>

> dilation??   I feel good now..any info on timing of

> redilations??  Hope you are

>

> having a greqat weekend... 

>

>

>

> ________________________________

>

> From: notan ostrich <notan_ostrich@...>

>

> achalasia

>

> Sent: Sun, May 27, 2012 1:53:16 PM

>

> Subject: Conversation between doctors about

> dilation vs myotomy

>

>

>

>  

>

> Subject line says it all:

>

>

>

> Pneumodilation versus Laparoscopic Heller's Myotomy for

> Achalasia

>

> http://www.nejm.org/doi/full/10.1056/NEJMc1106642

>

>

>

> The discussion was in response to the publication in May

> of:

>

> Pneumatic dilation versus laparoscopic Heller's myotomy

> for idiopathic

>

> achalasia.

>

> http://www.ncbi.nlm.nih.gov/pubmed/21561346?dopt=Abstract

>

> Full article here:

>

> http://www.nejm.org/doi/full/10.1056/NEJMoa1010502#t=articleTop

>

> " Conclusions: After 2 years of follow-up, LHM, as

> compared with

>

> pneumatic dilation, was not associated with superior rates

> of

>

> therapeutic success. "

>

>

>

> It should be noted that the dilation they refer to is not

> necessarily a

>

> single dilation but may have required three separate

> sessions before

>

> being successful and the follow-up is not long-term.

>

>

>

> notan

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>