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SunRose 04-11-2009 10:51 AM

Barrette's Esphogus and Gerd
 
I have undergone two upper endoscopies since March. The first showed I have Barrette's Esphogus and Acid Reflux, mulitliple biospies where taken and a Bravo 48 hr capscule was attached. The Bravo study showed my acid reflux in th 99%. The biospies for my Barrettes Esphogus where indefinite.
In March I underwent my second Endoscopy check for Cancer in my esphogus, and none was found. I had a manometry test done also and showed my les muscle very week and work properly maybe 50% of the time.
My surgeon fills surgery is necessary to stop the Acid Relex which should slow down the progression of my Barrettes esphogus. However only a 270 wrap would be done, otherwise I couldn't swallow. My qestion is has anyone had this type of surgery for this reason and what was your outcome?:angel:

dewing 04-12-2009 05:20 PM

Re: Barrette's Esphogus and Gerd
 
I have suffered from acid reflux for several years and take Omeprazole at bedtime. It is a horrid condition but how did you find out you had Barrets Osephagus? it worries me that this acid reflux can cause damage over time, i have mentioned my concern to my GP but they just say not to worry and just advise me to lose weight. I am 46 and female.

BioAdoptMom3 04-13-2009 07:56 PM

Re: Barrette's Esphogus and Gerd
 
I'm not sure about the surgery. DH was diagnosed with Barrett's in January but only has to take generic Prilosec and be checked every three years. Do you know if they discovered any pre-cancerous cells when they did yours? That could be the difference. DH didn't have any.

Good luck. Sorry I couldn't be of more help to you.

Nancy

MountainReader 04-13-2009 09:45 PM

Re: Barrette's Esphogus and Gerd
 
SunRose,
There is a bunch of information that you didn't provide with your request.

How long have you had your reflux symptoms? What type of symptoms are you experiencing? What treatments have you tried? Do you have swallowing or motility problems as well? Is that why the recomendation for the 270?

I've had reflux officially diagnosed for about 7 years. I believe I had it for years before, but wasn't correctly diagnosed. (My reflux is the 'silent' type.) I was able to keep it under control for years with medication and with lifestyle and diet changes. When one med stopped working, I found another that worked. About 1 1/2 years ago, everything just stopped working. I had tons of testing during this last year...most of it repeat from a couple years earlier. I had the 24 hr pH...with the nose tube connected to the computer...a bit more obvious than the Bravo. That showed really severe reflux. It was worse that previously and ironically, I was feeling really good and symptom free on the day of the test. My Manometry showed my LES functioning which was bad already had gotten worse. My Modified Barium Swallow and Esophagram showed I had developed a new sliding hiatal hernia and that I was refluxing food and acid. Worse for me was that the acid was coming up and irritating my lungs. (If you are having swallowing issues, those tests will be helpful as well.) I was lucky in that my EGD showed no damage in my esophagus or stomach. (My GI doc said I must be part cast iron.)

Long story short (or maybe a bit long here), with consultation with my GI doc, ENT (who works with LPR patients), Pulmonologist and surgeon, I decided to go for the surgery. I had the full wrap Laproscopic Nissen Fundoplication last October. When they wrap your stomach around your esophagus, they are in effect creating a "new" LES. Your stomach contracts around the esophagus every time it contracts normally. Those contractions keep things from coming up...acid, food, vomit, gas, etc... On the plus side, my reflux symptoms are tons better, although my GI doc still has me on 2 PPI's per day, indefinitely. For that alone, the surgery was worth it for me. It is nice to be able to breathe better and not worry about when the next critical attack would come. On the negative side, gas bloat can be a problem after the surgery because gas can get trapped below the wrap. (Try reading up on Gas Bloat Syndrome.) Most people also cannot vomit after the procedure. I never thought I'd have to worry about that because I didn't have problems before, but I have some other digestive issues now and I get frequent nausea. Not a good feeling. While the last two items are unpleasant, I still think the pros outweigh the cons. Also, you will have to be very very careful about taking small bites and thoroughly chewing so food doesn't get stuck above the wrap.

As for the success of the surgery, I think it depends on your symptoms. Through my internet research, it teams that certain reflux symptoms have a higher success rate with this surgery than others. Even with that, a good majority of the people in the research studies had some sort of success. I'm not sure how much the 270 wrap makes a difference over the full wrap.

This surgery is a very serious decision. It is good that you are doing some looking into it before making your decision.

SunRose 04-14-2009 01:32 AM

Re: Barrette's Esphogus and Gerd
 
[QUOTE=MountainReader;3954957]SunRose,
There is a bunch of information that you didn't provide with your request.

How long have you had your reflux symptoms? What type of symptoms are you experiencing? What treatments have you tried? Do you have swallowing or motility problems as well? Is that why the recomendation for the 270?

I've had reflux officially diagnosed for about 7 years. I believe I had it for years before, but wasn't correctly diagnosed. (My reflux is the 'silent' type.) I was able to keep it under control for years with medication and with lifestyle and diet changes. When one med stopped working, I found another that worked. About 1 1/2 years ago, everything just stopped working. I had tons of testing during this last year...most of it repeat from a couple years earlier. I had the 24 hr pH...with the nose tube connected to the computer...a bit more obvious than the Bravo. That showed really severe reflux. It was worse that previously and ironically, I was feeling really good and symptom free on the day of the test. My Manometry showed my LES functioning which was bad already had gotten worse. My Modified Barium Swallow and Esophagram showed I had developed a new sliding hiatal hernia and that I was refluxing food and acid. Worse for me was that the acid was coming up and irritating my lungs. (If you are having swallowing issues, those tests will be helpful as well.) I was lucky in that my EGD showed no damage in my esophagus or stomach. (My GI doc said I must be part cast iron.)

Long story short (or maybe a bit long here), with consultation with my GI doc, ENT (who works with LPR patients), Pulmonologist and surgeon, I decided to go for the surgery. I had the full wrap Laproscopic Nissen Fundoplication last October. When they wrap your stomach around your esophagus, they are in effect creating a "new" LES. Your stomach contracts around the esophagus every time it contracts normally. Those contractions keep things from coming up...acid, food, vomit, gas, etc... On the plus side, my reflux symptoms are tons better, although my GI doc still has me on 2 PPI's per day, indefinitely. For that alone, the surgery was worth it for me. It is nice to be able to breathe better and not worry about when the next critical attack would come. On the negative side, gas bloat can be a problem after the surgery because gas can get trapped below the wrap. (Try reading up on Gas Bloat Syndrome.) Most people also cannot vomit after the procedure. I never thought I'd have to worry about that because I didn't have problems before, but I have some other digestive issues now and I get frequent nausea. Not a good feeling. While the last two items are unpleasant, I still think the pros outweigh the cons. Also, you will have to be very very careful about taking small bites and thoroughly chewing so food doesn't get stuck above the wrap.

As for the success of the surgery, I think it depends on your symptoms. Through my internet research, it teams that certain reflux symptoms have a higher success rate with this surgery than others. Even with that, a good majority of the people in the research studies had some sort of success. I'm not sure how much the 270 wrap makes a difference over the full wrap.

This surgery is a very serious decision. It is good that you are doing some looking into it before making your decision.[/QUOTE]

SunRose 04-14-2009 02:00 AM

Re: Barrette's Esphogus and Gerd
 
I have had Acid Reflux many years now and have seen multiple Doctors and have undergone all the test. Liftestyle changes and diet haven't helped. The medicines don't work and I have tried them all I think. My 48 hour Bravo study showed I was in the 99% as far as Acid Reflux, and I saw the charts and the results. My Manometry test results where that my LES works poorly at best and if I had the 360 wrap I wouldn't be able to swallow, that is why I will have a 270 if and when I have surgery. I wake up multiple times during each night choking on the acid that has filled my mouth. Coughing and choking is just a way of life these days. Most mornings I vomit when I get up and I don't eat or drink hours before bed. I sleep elevated, never flat and that in its self has kept me from choking to death in my sleep. Thank you for your replies now and hopefully future replies. I am reading and learning.


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