Swallowing test

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vickabee
Regular Member


Date Joined Jun 2009
Total Posts : 53
   Posted 8/6/2009 9:56 AM (GMT -6)   
My daughter just went back to her plastic surgeon that did 2 of her 3 cleft palate surgeries.  They mentioned about doing a swallow test because sh'e had GERD along with food itself coming back up.  Come to find out a majority of kids with cleft lip and/or cleft palate have this.  I had to keep her sitting up for 45 minutes after she ate when she was a baby.
 
The speech therapist mentioned sometimes they have to do surgery to fix the sphincter at the bottom of the esophogus.  Is that pretty much an outpatient surgery?  She ha an endoscopy last year where they said there was damage to her esophogus and she was on Prevacid for six months.
 
Just wondering about any deyails you might have on this.
 
Thank you.
 
God bless you.
 
Vickabee

beareilly
Veteran Member


Date Joined Mar 2009
Total Posts : 553
   Posted 8/6/2009 6:56 PM (GMT -6)   
hi , I had the nissan fundoplication on may 7th for my gerd. MY les (sphincter) wasnt working. I had the surgery and since am I better woman. You can read my thread pre op and post op.How old is your daughter?
Bea

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 8/6/2009 7:05 PM (GMT -6)   
I'm doing the esophyx procedure which is not as quite a severe surgery. My doctor has done it on children. They go down your throat with a scope that has a "stapler" on it and staple your stomach around your esophagus creating a reinforced LES.

Joy

beareilly
Veteran Member


Date Joined Mar 2009
Total Posts : 553
   Posted 8/6/2009 7:11 PM (GMT -6)   
Hi Joy, the problem  with esophyx  is to be a candatitate for this you cannot have a hiatial hernia and a defective valve. If im not mistaken
B

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 8/6/2009 8:11 PM (GMT -6)   
Hi Vickabee,
Sorry that your daughter has had to undergo all those surgeries. Actually the fundoplication surgery is used quite routinely with babies and children who have reflux problems. As an open surgery, the Nissen Fundoplication has been around for about 50 years. It has been done laproscopically for a little over ten years or so. It's not usually an outpatient surgery (Maybe for children, I'm not sure), but most people only have to stay in the hospital overnight. If you'd like to see an animated video of the procedure, check out this link:
http://nyp.org/masc/flash_nissen.htm

I had the surgery done on February 27th of this year. The recovery is quite easy--much better than I expected. The tests they usually do to determine the necessity of surgery are endoscopy, 24 hour PH monitor, barium swallow, and manometry. The manometry is the swallowing test. They use it to check and see if the swallowing reflex is normal and strong enough to withstand the resistance of a reconstructed valve (before surgery, with the weak sphincter (LES), it doesn't take much force to push the food through. This changes a bit after the surgery, so it's important to have a normal swallowing reflex. The manometry can also test the strength of the sphinter valve.

Manometry is the most challenging of the tests, since it has to be done awake, and requires a fairly good sized tube to be put through the nose and down the throat. You are periodically given a little water to hold under your tongue until given the signal to swallow. Most people find it a hard test to get through. I don't know how old your daughter is, and how well she tolerates tests. I didn't find it as horrible as some people do, but I know everyone is different.

I wish you lots of luck in your search to find answers to your daughter's problems. Please be sure to let us know what you find out. We're all here to give you as much support and information as possible, so be sure to ask any additional questions you may have.
Best wishes!
Denise

vickabee
Regular Member


Date Joined Jun 2009
Total Posts : 53
   Posted 8/6/2009 10:39 PM (GMT -6)   
Thank you all for your info. My daughter is 15 years old. With the manometry, do they put some numbing stuff at the nose because when she was smaller they did a couple of tests where they did a camera down through her nose to look at her phyrengeal flap (everybodys opens and closes when you swallow - hers didn't because of her cleft palate - so they created one for her.)

She had an endoscopy last year because of a really bad burning feeling going down her esophogus. Do the GI doctors usually go to where the sphincter is?

Thanks again.

God bless you.

Vickabee

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 8/7/2009 6:54 AM (GMT -6)   
Hi Vickabee,
Yes, they do go down to and past the LES (sphincter) during and endoscopy. Also, they do numb the nose before inserting the tube.
Best of luck!
Denise
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