Are there Gerd Symptoms after Esophagectomy

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tracks83
Regular Member


Date Joined Mar 2008
Total Posts : 139
   Posted 1/14/2012 8:51 PM (GMT -6)   
I was wondering if God forbid someone had to undergo a Esophagectomy would that patient still have reflux? I would think not because your stomach is streched out to the top of your esophogus or connected to your throat. Does anyone have any input on this?

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4771
   Posted 1/14/2012 10:15 PM (GMT -6)   
Tracks-

Well this is an interesting subject for me. You see When I was in the hospital back in March of last year to have a tear in my esophagus repaired I faced this very thing. I was lucky to have been able to keep my esophagus after a few months of tense waiting. During the first 2 weeks I was scheduled to have the esophagectomy twice, but it was cancelled about 2 hours before surgery.
Anyhow.....I did ask my surgeon about this very thing. He told me that I would not have to worry about reflux anymore because the stomach would be used to replace the esophagus. That being said I also had a real possibility of having to use my colon instead of my stomach as an esophagus because of the amount of surgeries I have had on my stomach. again he said I would still not have to worry about reflux.

Oh, they don't actually "stretch" your stomach out to connect it. They cut free the esophagus and actually pull your stomach and esophagus outside your body. They then remove the esophagus and trim the stomach down to a tube shape. (similar to a gastric bypass he told me). They then have to cut the ring of muscle at the exit end of the stomach so food will go into the small intestine easily. Basically you end up with a very short and narrow stomach that just pushes food straight into the small intestine.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

tracks83
Regular Member


Date Joined Mar 2008
Total Posts : 139
   Posted 1/15/2012 8:24 AM (GMT -6)   
OMG! That's crazy. But if they would of used your stomach to create an esophagus would one still feel heartburn. I would think not. But the other question that arises is would food regurgitate back into your mouth because there is no valve or LES present? Is gravity the only friend you have in this case?
I'm asking all these questions because I'm very scared.

I lost my father to lung cancer 2 months ago. Granted he smoked for 40 years. This is what worries me. He pounded his lungs with smoke day in and day out until the point where his lungs could not take it anymore. That one cell in his lungs went rouge, mutated and cancer developed and it took him quickly. Last Feb he had a C-scan done of his lungs with negative results. 8 months later he was diagnosed with StageIV lung Cancer.
So now there is me. Suffering from Gerd for 10 years. 3 years ago they found a small section of Barrett's ( about.2 cm). Now I'm experiencing a discomfort behind my breast bone. Could it be a mass? Could it be esophagitis? It's not pain. It's hard to describe. All I can tell you it doesn't belong there and I never felt it before.

I'm worried Bc regardless of the fact that I take nexium everyday the acid is pounding my esophagus at the junction of the LES. I'm afraid that my body will give up and I may end up with cancer.
I have my annual endoscopy scheduled but it not till April. The problem with having one of the best drs in NYC is that it's difficult to get an appointment with them.
So I'm getting as much information for the worst possible scenario.
www.tommarkzfilmsblog.com

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4771
   Posted 1/15/2012 11:29 AM (GMT -6)   
tracks-

according to my surgeon you will not feel heartburn. This makes sense since you don't feel the acid that's in your stomach 24/7. Now remember you ARE talking about the most severe scenario.
You are correct that there is no LES after this kind of surgery and gravity plus some stomach muscles push food down and pretty close to right into your small intestine. I was told I would have to modify my diet some at least for a while until things healed all the way and my body got used to the new design. My GI doc is so worried about my esophagus tearing again he refuses to do another EGD unless there is absolutely no other option. But my esophagus has been dialated over 20 times in the last 5 years or so. I am the rare case scenario. To fix my tear they even had to put on an outside plura patch along with stitching the 3 layers back together and it leaked for almost 1.5 months until it scarred over.

Also even with them using a piece of the colon as an esophagus, he said I would not feel heartburn anymore.

They counter the chance of food regurgitating by cutting the muscle ring at the lower part of the stomach to let food pass through easily.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11
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