I wrote about
this on another thread.
Basically there are two types of problems with the LES:
1) Low pressure
I guess the low pressure is something that fundoplication can clearly fix well. On the other hand - the TLESRs (which we have) it can also fix (although they don't know the exact mechanism .. except that the fundus seems to impede the neuro signals in some ways) .. but there is greater likelihood of persistent dysphagia when fundoplication is applied to a normal LES. I think this is the reason, the surgeons are not going to take the risk with us, is what I feel from my readings so far.www.ncbi.nlm.nih.gov/pubmed/11986014
Post Edited (PPI-LESS) : 6/13/2011 10:12:57 AM (GMT-6)