Please, please, get a second opinion before you do the surgery. If your Bravo is negative and your manometry normal, then why would your surgeon just guess at what is wrong. To have the surgery, your Bravo should be showing considerable acid reflux. There is another test that will show whether bile is the problem. It's called an impedence test and it will show acid reflux and non-acid reflux (bile, pepsin, etc.), distribution and clearing time. I suppose there is always a slight chance that the Bravo was giving you a false negative report. Your doctors are doing too much guess work...beware of it. They have a very lax attitude and this surgery is not something you want to have if you don't need it.
Why do you need dialations? You said your manometry was normal so what are the dialations for.
You sure want to really be sure you can swallow well before you have any surgery.
Is the prevacid doing any good for you? If you don't have acid, I would think it wouldn't be working for you. What you are describing is not heartburn but there is a type of acid reflux that does effect the throat. It's called LPR or basically laryengeal phrenoesophageal reflux, not sure of the spelling.
I have read alot of posts from people who had misdiagnosis' and had the surgery and they still had the problems. Don't rush into this. Please do alot of research about
your surgeon also. You have to have someone who has done alot of the Nissen surgeries to be qualified with very good successes. Listen, I would be very concerned about
a surgeon who wants to play guessing games with my body. Don't just accept the surgeon that your GI suggests and especially don't go into this without knowing full well that you have acid reflux.
We are looking out for you here and I don't want to alarm you at all. The barium swallow is not a definitive test for reflux like the Bravo is. Be your own advocate and I think I would insist on the impedence test first. All the best to you, hon. Take care.
Post Edited (sillylilly) : 10/6/2008 5:24:05 PM (GMT-6)