what is thoracic inlet

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joe1619
Regular Member


Date Joined Dec 2009
Total Posts : 293
   Posted 9/30/2010 4:55 PM (GMT -6)   
One month post fundo and no improvement.  dr. does not understand.  does anyone know what/where the thoracic inlet is.  my barium post op shows reflux spontaneously to thoracic inlet.  pre-op it showed to clavicle.  are thee the same. today gi dr. was mad at surgeon and scoped me.  after 12 hours of fasting he found food in the stomach and says i will need reglan.  he was very disappointed at the surgeon as now my emmptying is worse and he had me do an impedance an manometry.  man i cant take much more.  he also had oto look at me within the same day and my throat is burned by acid, but oto said dont panic..i have.  whats it mean the thoracic unit.  barium passes through fundo with maximal opening of ge junction at 8mm.  surgeon says he does not know what that means.  i should have listened when u all said go with experience.  i didnt and now i feel like im a dead man walking

zeldagoblin
Regular Member


Date Joined Mar 2010
Total Posts : 204
   Posted 9/30/2010 5:16 PM (GMT -6)   
Hi Joe, med dictionary says the following:

thoracic inlet (thō·raˑ·sik inˑ·lt),
the intersection of the neck and thoracic cavity, consisting of the upper end of the sternum (the manubrium), the first thoracic vertebra, and the first ribs and their cartilages.

Guessing that would be upper chest/throat area.

I am so sorry to hear the op hasn't been successful, you must be distraught. Maybe you can push for a redo by someone more able?

Best wishes

Liz x

joe1619
Regular Member


Date Joined Dec 2009
Total Posts : 293
   Posted 9/30/2010 6:16 PM (GMT -6)   
i tried one experienced surgeon and he said since i went elsewhere he wont help. i originally consulted him and his nurse called me a baby for asking for 1 week off for my wife to get the kids to school. so i went elsewhere and as i suspected it was not tight enough. does anyone know if the les still works after fundo. my gi doc wants to try reglan

Sirkit
Regular Member


Date Joined Jul 2009
Total Posts : 61
   Posted 10/1/2010 12:30 PM (GMT -6)   
Hi Joe,
The surgery shouldn't have damaged the LES though swelling or a misplaced funo could possibly distort it's shape (this is mostly conjecture). I tried reglan and it made me a little crazy (weird nervous twitchy symptoms, I freaked out so bad I had to go to the emergency room) but it will help with emptying and side effects vary substantially between individuals.

I'm terribly sorry your surgery didn't go well.

As for this: 'barium passes through fundo with maximal opening of ge junction at 8mm' I would assume that it means that the barium is moving through the fundoplication opening at the Gastro-Esophageal junction (ie. your LES) which is open at 8 millimeters. However I don't know if that's when you're swallowing (which means it could be a good thing, I'm not sure what normal is) or when you are at rest (which is likely a bad thing since it implies that the LES is still open when it's supposed to be closed). I am not a surgeon or a GI so take my extrapolation with a grain of salt.

joe1619
Regular Member


Date Joined Dec 2009
Total Posts : 293
   Posted 10/1/2010 3:35 PM (GMT -6)   
they said spontaneous. so i think it stayed open and it came back up. not sure if thats because my stomach is full. im so mad. i hate this. but yes if it opened up only when swallowing then shut id be good but i think its the other way. is it true the wrap just supports the wrap and the les can still work independently. if so, i feel a little better, but still this is horrible. gi doc said reglan when he gets back. does it help with reflux. my emptying is partly to to anxiety meds and partly the wrap..ugh

joe1619
Regular Member


Date Joined Dec 2009
Total Posts : 293
   Posted 10/1/2010 4:29 PM (GMT -6)   
so my wife made beef stew, no problems with a biscuit or stew meat. like i said doc wrapped me for nothing. any other good surgeons in iowa anyone aware of. i tried a dr. in grinnel but he wont help because i went elsewhere for 1st surgery. you would think a dr. would want to help

Sirkit
Regular Member


Date Joined Jul 2009
Total Posts : 61
   Posted 10/1/2010 4:33 PM (GMT -6)   
Yeah the wrap is just there to give the LES some support, the surgery in no way destroyed your LES, the muscle is still there and trying to do it's job. It's also possible to get an 'undo' on the fundo if that's what needs to be done. Try the reglan and see if it helps, it's possible the spontaneous reflux is because food is still getting caught in your stomach.

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 10/1/2010 5:10 PM (GMT -6)   
The thoracic inlet is the junction between the neck and the chest.
~~Kitt~~
Moderator: Anxiety/Panic, Osteoarthritis, GERD/Heartburn and Heart/Cardiovascular Disease.
www.healingwell.com

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