Had my first post Nissen EGD today

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rlopez75
Regular Member


Date Joined Jul 2009
Total Posts : 199
   Posted 11/6/2009 11:23 PM (GMT -6)   
Hello every one.
 
I had my first EDG post Nissen today. My GI specialist schedulled it because I ave been having some discomfort in my esophogus for the last 3 weeks or so. Its not GERD related because pain meds like Tylenol and Motrin seems to help alive it.
 
He gave me a picture print out that I want to share with you guys. I knew he would provide me with these pictures and I was very intrested in seeing how my wrap looked on the inside.
 
I hope you guys dont get grossed out. Its nothing gross to me as I find the pictures very informative especially for some one who is newly diagnosed and is wondering what could be goin on in their body.
 
I tagged the pictures to explain wht your looking at. In the first picture on the top left you can see the Hernia is so bad, and the LES is so damaged that you can see inside my stomach from my esophogus.
 
This is the one I recieved today. You can see the inprovement. The only minor thing found was very minor gastritis.
 
Thanks for looking and I hope this helps some oen out there who is trying to understand what this desiease is and how it can be remidied.
 
Rafael

pandacrazy
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Date Joined Jan 2005
Total Posts : 1326
   Posted 11/6/2009 11:31 PM (GMT -6)   
Rafael, glad the nissan has helped you so much. Did the doctor know what the pain was from? I still get pain if I swallow too big of a bite or gulp of liquid and it's been 9 years since my wrap was done. I hope things continue to improve for you. Barb
My laundry list of diseases include, Ulcetive Colitis, GERD, chronic gastritis, Asthma, Alergies, CAD stent to LAD 1/4/05, TMJ and a deteriorating disk in lower back. Also chronic pain from a moped accident 11/9/07 which left me with back, hand, knee and foot problems and broken tailbone Jan/09.
Meds,calcium, lecithin, biotin, flax oil, magnesium, CoQ 10, vitamin C, zinc, Proair, Amytryptaline 15mg, Advair 500/50, albuterol nebulizer soluition, Ambian, pepcid, carafate, nexium, Zertec, Hydrocodone, cyclobenzedrine,


Proud grandma of Isabella Rose, Keegen Bryce, Caleb Owen and furry grandchildren Kayu, Sophie, Abby & Lucy


rlopez75
Regular Member


Date Joined Jul 2009
Total Posts : 199
   Posted 11/6/2009 11:44 PM (GMT -6)   
Thank you barb. You know, as I was putting text on those pictures and I took a good look at how the wrap created my ne LES and how it look on th insideof my stomach, I can see why its still so sore. I comapre it to what might be the equivalent of having a rubberband wrapped around a fineger.....not too comfortable after a while.

He didnt talk to me about the pain after he was done. I was still too groggy to ask him about the pain I'm feeling, but he asked to see me in 2 weeks or sooner if I needed to. He was more concernd about reflux and the erosive esophogitis coming back. Since everything was positive he didnt seem to concerned about the discomfort I have been having. I'm starting to accept that this may just be part of "my" healing process. Might just be soreness untill everything setles in.

Tylenol makes it better so far so I'll keep with that and hope it eventually fades more and more.....we'll see.

Rafael

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 11/7/2009 8:44 AM (GMT -6)   
Rafael
 
Thanks for posting your pictures and I found them very interesting.  I am glad to hear of the great improvement post op and hope you continue to keep on getting better every day.
 
I am sure you are feeling a lot of relief now that you have the results of your EGD.
 
Hugs to you,
Kitt

Alcie
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Date Joined Oct 2009
Total Posts : 5029
   Posted 11/7/2009 10:36 AM (GMT -6)   
Hey Rafe-
Interesting pictures! Thanks for posting. Are you still on PPIs? Have you tried to wean off? I'm wondering what others are doing about acid prevention post-op. I'm only 2 weeks post-op, having no acid reflux, feel like my new LES might possibly do the job without meds, but I know better than to rush anything.

I still have moderate pain at my incisions and the stomach area at the wrap. I never have had relief from Tylenol, only a little from Motrin. I'm taking Clinoril (Rx NSAID) for pain from a litany of problems. It works, but doesn't last long enough.

Barb - Thanks for the warning about continuing caution with large gulps and bites.
Alcie
 
 


rlopez75
Regular Member


Date Joined Jul 2009
Total Posts : 199
   Posted 11/7/2009 11:21 AM (GMT -6)   
Kitt, I posted those pictures because there is little imformation on th net about what the wrap really intales. I mostly found laproscopic pictures that look all bloody and gross that just made me stress out more. I feel my pictures show more in detail the before and after of this surgery. I hope other members find them as helpfull as you and Barb.

Alice, yes I'm still on PPIs only because my specialist thought that I might of had reflux a few weeks back beafore the EGD. By the pictures he comcluded that my esophogus in normal. Yesterday he told me to stay on them because of the minor gastritis that he say in there. But as far as reflux, I have none.

Tylenol seems to take a while for me but it does eventually work. It doesnt irritate my stomach eather. But the antidepresent I recently started will have to go. Its making me feel worse and I dont need that right now. I have started to speed walk on th treadmill and will release my stress that way instead.

I think the pain I'm still having is from my wrap being to tight. I cant explain why else, if my EGD cam back clear, it still throbs with pain when I excert myself and even when I take a deep breath or cough. I do not wnatto get it stretched and I'm thinking I might just let it play its self out. I might consult with my surgeon just to see what he says but stretching it out is out of the question.



Thanks for looking!
Rafael

pandacrazy
Veteran Member


Date Joined Jan 2005
Total Posts : 1326
   Posted 11/8/2009 11:18 AM (GMT -6)   
Hey Raphael, you may just have to be patient as it takes a while for things to heal up inside. Make sure your not eating too much at one time too. I had terrible pain and felt sick for hours if I ate one bite too many. I had to stop as soon as i felt full. This can be a big plus if you need to lose weight though. I haven't seen your pictures yet as I don't know how to get to them. Sounds interesting though. Just hang in there though it just takes time. Well have to get ready for church. Barb
My laundry list of diseases include, Ulcetive Colitis, GERD, chronic gastritis, Asthma, Alergies, CAD stent to LAD 1/4/05, TMJ and a deteriorating disk in lower back. Also chronic pain from a moped accident 11/9/07 which left me with back, hand, knee and foot problems and broken tailbone Jan/09.
Meds,calcium, lecithin, biotin, flax oil, magnesium, CoQ 10, vitamin C, zinc, Proair, Amytryptaline 15mg, Advair 500/50, albuterol nebulizer soluition, Ambian, pepcid, carafate, nexium, Zertec, Hydrocodone, cyclobenzedrine,


Proud grandma of Isabella Rose, Keegen Bryce, Caleb Owen and furry grandchildren Kayu, Sophie, Abby & Lucy


rlopez75
Regular Member


Date Joined Jul 2009
Total Posts : 199
   Posted 11/8/2009 2:12 PM (GMT -6)   
Barb, just click on the link I posted in the original post of this thread. Its highlighted in blue.

As far as eating I usually dont eat more than 2 cups of food or so at a time. I usually guage the quantity of food that I eat by putting the food on my plate and comparing it to my fist. Thats all I eat right now and I feel great doing so. At first I figured that the food would get stuck at the wrap and when I swallowed fluids it would push it all through. This would hurt and cause me to be too full as the food enterd my stomach all at once. I have gotten used to drinking small bits of liquid as I eat to help push dow the food and not cause me to over eat. This has helped me a lot by not over distending the wrap as well.

Hope everyone is having a good weekend!
Rafael

april417
Regular Member


Date Joined Jul 2007
Total Posts : 204
   Posted 11/8/2009 6:12 PM (GMT -6)   

ok I'm new for this forum,  what is nissen?


April
 
HOPE, FAITH AND LOVE
 
 
                                   Total Coletomy Feb. 07
                               Total Hysterectomy Oct 08  
        
Synthroid, Cymbalta 60mg,  Propranolol ER 60mg for migraines
Prilosec


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 11/8/2009 6:49 PM (GMT -6)   
It's a surgery for the acid reflux that medication can't control.
They basically take the top of your stomach and wrap it around your LES to strenghten it.
There is two other surgeries out there or still being researched. The EsophyX TIF is just approved for three years now (no cutting!) and the newest- Linx system is still in trials.

Joy
Health problems: sleep apnea, hypothyroidism, GERD, glaucoma, OA, environmental, food, and drug allergies, asthma, high cholesterol, pre-diabetic
Medications:Nexium 2X a day, 300mg Zantac, K-Dur, Lasix 2X a day, Zyrtec, Zocor, Lumigan, fish oil, B12, Substex, calcium + D, Advair, Albuteral, nebulizer
 
I don't suffer from insanity, I enjoy every minute of it!
 
 


pandacrazy
Veteran Member


Date Joined Jan 2005
Total Posts : 1326
   Posted 11/8/2009 10:13 PM (GMT -6)   
Hi April, welcome to the GERD forum. Joy explained the Nissan perfectly.

Hi Raphael, I still have problems if I eat too much so it is something you will always have to watch. It's been a while since I've done that though as it is so unpleasant that I try to avoid at all costs. It sounds like your doing a good job at not over doing it though. Barb
My laundry list of diseases include, Ulcetive Colitis, GERD, chronic gastritis, Asthma, Alergies, CAD stent to LAD 1/4/05, TMJ and a deteriorating disk in lower back. Also chronic pain from a moped accident 11/9/07 which left me with back, hand, knee and foot problems and broken tailbone Jan/09.
Meds,calcium, lecithin, biotin, flax oil, magnesium, CoQ 10, vitamin C, zinc, Proair, Amytryptaline 15mg, Advair 500/50, albuterol nebulizer soluition, Ambian, pepcid, carafate, nexium, Zertec, Hydrocodone, cyclobenzedrine,


Proud grandma of Isabella Rose, Keegen Bryce, Caleb Owen and furry grandchildren Kayu, Sophie, Abby & Lucy


april417
Regular Member


Date Joined Jul 2007
Total Posts : 204
   Posted 11/8/2009 10:26 PM (GMT -6)   
Thanks so much for explaining. I also have a hiatal hernia and Barrett's disease, I still have to see my doctor again to find out if I need surgery for the hernia.
Does anyone have this??
April
 
HOPE, FAITH AND LOVE
 
 
                                   Total Coletomy Feb. 07
                               Total Hysterectomy Oct 08  
        
Synthroid, Cymbalta 60mg,  Propranolol ER 60mg for migraines
Prilosec


opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 11/9/2009 1:13 AM (GMT -6)   
April-
I also have barretts and did have a hiatal hernia that was fixed during my first Nissen. Most people have a hiatal hernia to some extent, but most never know they do unless they have GI issues.

Take care,
Bill

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 11/9/2009 5:27 PM (GMT -6)   
I've got a HH. but no barretts.
If you near GA I can give you the name of my doctor. He's famous for doing the first Lap. nessin and teaches others how to do the EsophyX. I believe he is also in the research for the Linx. He takes out of state patients.

Joy
Health problems: sleep apnea, hypothyroidism, GERD, glaucoma, OA, environmental, food, and drug allergies, asthma, high cholesterol, pre-diabetic
Medications:Nexium 2X a day, 300mg Zantac, K-Dur, Lasix 2X a day, Zyrtec, Zocor, Lumigan, fish oil, B12, Substex, calcium + D, Advair, Albuteral, nebulizer
 
I don't suffer from insanity, I enjoy every minute of it!
 
 


Liser79
Regular Member


Date Joined Nov 2009
Total Posts : 23
   Posted 11/9/2009 6:52 PM (GMT -6)   
Thanks Raphael. I was curious as to what my wrap looked like from the inside. Cool!
When did you have surgery? I am almost 1 month out and I am also having a sharp aching pain at the site. Not heartburn because like you, the pain gets better with Tylenol. The pain is intermittent and not all the time. It comes and goes and does not matter what I eat or what I am doing.
What did your pain feel like?
Also, I am still burping. A little worried about that but I see the surgeon on Thursday so I will bring this up with him.

Thanks.
Lisa

rlopez75
Regular Member


Date Joined Jul 2009
Total Posts : 199
   Posted 11/10/2009 6:52 PM (GMT -6)   
Lisa, my pain, actually more soreness than pain, feels like when you streatch a sore mucsle. Especially when I take a deep breath, cough, or excert my self.

I had my surgery on August 10th of this year. My pain comes and goes too. Its not allways the same and varies with my daily activities.

I'm actually going to get another month of disability because of the pain I'm still experiencing. The good/bad thing is that after disability I will more than likely end up on unemployment because there is no work right now :( . Good because I will get some more recovery time. Bad because I need the money.

Rafael
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