1 week pre-Nissen

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mugsy111
New Member


Date Joined Oct 2008
Total Posts : 11
   Posted 10/6/2008 12:22 PM (GMT -6)   
Hi all,
 
I will be having the Lap Nissen procudure one week from today (10/13/08).  I've been a board "junkie" of sorts the last 2 weeks.  I must say that this board has been a great resource for me in learning what to expect in the coming weeks.  I've read parts 1-5 of the post Nissen thread, and I must say that I'm certainly nervous about having this done.  Although some have had terrific results from this procedure, I'm fully aware of some potential complications.  I've struggled with GERD for several years now (30 year old male).  I was going to have the Nissen done a number of years ago, but couldn't due to having gastroperesis.  I've been free of gastroparesis for about 2 years now, and I finally have the courage to get this done.  I recently had another scope that showed esophageal damage and a large (6cm) hiatal hernia.  Met with the surgeon on 10/2 and scheduled the surgery...which leads me to a couple of questioins...
 
1)  I have never had the manometry (sp) test that I've read so much about.  Has anyone else ever had this surgery without having this test done first?  My surgeon didn't seem concerned about it (and yes, he has done hundreds of them).
 
2)  My surgeon said I would be able to swallow pills as soon as the day after surgery.  I read in a couple other places where people were given liquid meds instead and were told specifically not to swallow pills.  I spefically asked a question about this b/c the surgeon says I will continue to take nexium until 30 days after the surgery.  Again, he assured me everything would be ok...I sure hope so.

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 10/6/2008 12:43 PM (GMT -6)   

mugsy111

Welcome to HealingWell.  I am glad you have read through the posts and found them helpful.

Remember some people that have surgery and have no problems may not post so hopefully you will do well.

2 good questions and I am sure one of our members that has had the surgery will have some insite into your concerns.

Again, Welcome.

Kitt


 

Kitt, Moderator: Anxiety/Panic & Depression
& GERD  Forums
*~*
http://www.healingwell.com/donate *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources


LdyJane
Veteran Member


Date Joined Jun 2008
Total Posts : 903
   Posted 10/6/2008 6:50 PM (GMT -6)   
Hi mugsy, welcome you're in the right place. I was ready to back out of my surgery because of nerves, the good people here helped me tremendously. To answer your first question, I had manometry; others would have to tell you if they did or did not.

While you may be able to swallow pills there is a risk that they may start to dissolve before going through the "new valve"; the tissue in your esophagus is tender and will be in a healing period for quite some time; anything acidic could damage that tissue. Immediate post-op generally brings edema to the surgical sites; I had additional swelling two weeks later and had to return to Cleveland for an emergency endoscopy and dilation, so I was on liquid meds or crushed meds mixed with liquid motrin or juice for a long, long time.

For weeks after the surgery I question my sanity and the thought processes that convinced me to go through with the surgery, it was a very rough recovery for me, but around week 6 things changed dramatically and I really started feeling good, now I can say I feel great. One thing that we found was that the younger the patient, the easier the recovery, conversely the older the tougher..I'm 53.

The surgery has been so worth everything I went through and I'm sure you'll find the same. Where are you having your surgery?

Good luck, let us know how you're doing.

Bo Peep
Regular Member


Date Joined Jan 2008
Total Posts : 227
   Posted 10/7/2008 4:17 AM (GMT -6)   

Hi mugsy!

I thought that the manometry study was a prerequisite for the surgery. I had it.

I managed to take a few pills straight after surgery but as soon as the swelling started I couldn't. This lasted for 4 months.
 
Good luck with the surgery! :-)
Elaine


mugsy111
New Member


Date Joined Oct 2008
Total Posts : 11
   Posted 10/7/2008 8:44 AM (GMT -6)   
Thanks for the replies.  From what I've read, I had also assumed the manometry was a prerequisite.  I also never had the PH study done, which seems a little odd from what I've read.  Who did the manometry and ph tests...the surgeon or gastro?  My surgery is in Waterloo, Iowa.

Gabby123
Regular Member


Date Joined Jan 2007
Total Posts : 113
   Posted 10/7/2008 8:50 AM (GMT -6)   
I would be very concerned with this surgeon.  YOu really need to have the manometry test done, because if you have a motility problem it could screw up your ability to swallow.  I'm so suprised he didnt care about that test.  Thats really scary if you ask me.  My surgeon would absolutely NOT do this surgery on me unless I had the manometry test done.  I woudl really reconsider this surgeon.

mugsy111
New Member


Date Joined Oct 2008
Total Posts : 11
   Posted 10/7/2008 10:35 AM (GMT -6)   
Honestly, I'm not concerned with the surgeon at all.  I do know him on a personal level, and he also took my gall bladder out four years ago.  I've been going to my gastro for a number of years, and he told me I would be a good candidate for the surgery if not for my gastropareris (that was 2 or 3 years ago).  Since that time I've shown no signs of gastroparesis (gastric emptying studies) and had a few endoscopes performed.  After the last one (August) he recommended I have the surgery asap...no additional testing.  I was referred to the surgeon and had the consult and scheduled the surgery...no additional testing.  So, who usually does this manometry test:  the gastro or the surgeon?

Southern Star
Regular Member


Date Joined Sep 2008
Total Posts : 38
   Posted 10/7/2008 5:37 PM (GMT -6)   
Hi, mugsy, I had the surgery done on Aug. 14. I've been on Nexium or Prilosec for the last 8 yrs. have been going to the same GI for that long. In 01 I had the motility test done as well as an endoscopy. Last Nov. I had another endo as well as the motility and the Bravo PH 48 hr. I've never had a manometry test or a barium swallow done. I never even knew about either test until after surgery when I found this site. So this is just my opinion but if you trust your GI and your surgeon I wouldn't worry about it. My surgeon was very good! I think it's just a difference in drs. My surgeon has done a bunch of these surgeries. I think it depends on the patient and their particular problem and your GI would know if you needed a manometry.

Bo Peep
Regular Member


Date Joined Jan 2008
Total Posts : 227
   Posted 10/8/2008 3:57 AM (GMT -6)   
I am in the UK but my consultant arranged the tests though his specialist nurse in the hospital. :-)
Elaine


HappilyWrapped
Regular Member


Date Joined Oct 2007
Total Posts : 183
   Posted 10/9/2008 9:16 PM (GMT -6)   
Mugsy111 -

Best wishes for a fantastic outcome. You'll find all the support you need to get you through your recovery on this board. I'll be thinking of you on the 13th.

HappilyWrapped

ScarlettW
New Member


Date Joined Oct 2008
Total Posts : 12
   Posted 10/11/2008 1:45 PM (GMT -6)   
Hello-

Any news on this? Have you had the procedure? If so, how did it go?

ScarlettW
New Member


Date Joined Oct 2008
Total Posts : 12
   Posted 10/11/2008 1:46 PM (GMT -6)   
Sorry- just read that it is on Monday.. GOOD LUCK and let us know how it goes.

LdyJane
Veteran Member


Date Joined Jun 2008
Total Posts : 903
   Posted 10/12/2008 2:32 PM (GMT -6)   
Good luck Mugsy! We'll see you on the other side :) and we're here to walk with you through recovery! (This is the best site and the best group of people!!)
Janice

oakley
Regular Member


Date Joined May 2007
Total Posts : 358
   Posted 10/12/2008 4:05 PM (GMT -6)   
Mugsy...very good question, so glad you asked !!
I had the manometry test done and CANNOT have the surgery.
I do not swallow well enough now.
My GI doc said that many doctors /surgeons will go ahead with the surgery without doing this teat first.
He feels it is very necessary and not very smart for doctors to not require it.
I respect his opinion on this ..I would definatley look into this more.
This surgery is a rough recovery for so many and you should be well informed before you agree to it/
God bless, Anne

oakley
Regular Member


Date Joined May 2007
Total Posts : 358
   Posted 10/12/2008 4:10 PM (GMT -6)   
Mugsy
Wanted to add that my Gi did the manometry on me.
What other avenues have you been down on your road to this decision.....medicines, lifestyle changes ??
Keep us posted, glad you are here !
Anne

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 10/12/2008 6:26 PM (GMT -6)   

Mugsy,

Hey there, I am so glad you got so many wonderful resonses to your post. Please know I am thinking of you and praying for your surgery to go well.

The wise ones have shared with you and they understand where your are coming from and what your going through.

Let us hear from you and know we are all here for you.

Blessings

Kitt


 

Kitt, Moderator: Anxiety/Panic & Depression
& GERD  Forums
*~*
http://www.healingwell.com/donate *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources


ebplace
New Member


Date Joined Oct 2008
Total Posts : 9
   Posted 10/12/2008 10:37 PM (GMT -6)   
Hi Mugsy
I think your surgery may be today so I am sending you good vibes for a speedy recovery. I didn't have that check first and had no problem with the surgery (although it was open not lap, although not sure that should make any difference).

Afterwards I was so swollen inside I regurgitated an iron tablet back from the esophagus 4 days after swallowing it - it was in perfect form! For a week or so I feared I would never eat a solid food ever again but don't panic ... it slowly does get better. I have no trouble at all with most foods now.

Wishing you lots of healthy times ahead
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