Delayed Gastric Emptying before Fundoplication what to expect

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4hn
Regular Member


Date Joined Jul 2011
Total Posts : 77
   Posted 10/15/2011 7:59 PM (GMT -6)   
Hi All,

Does anyone here have their fundoplication with Delayed Gastric Emptying before surgery?
What to expect after surgery? will it better or worst?
Some article said that wrap will help, some said wrap will make it worst.

Thx u,

Ahn.

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/16/2011 2:38 AM (GMT -6)   
Ahn-
I sometimes think I have this because sometimes I have D really bad and then it seems to take a couple days before I have another bowel movement. Well that's enough nastiness, LOL!

My surgeon at the University of Iowa hospital who repaired told me that sometimes they have to cut the muscle ring where the stomach enters the small intestine. But I believe that would be extreme cases. I really don't know for sure if the wrap would help or worsen the delayed emptying, but my git feeling is that it probably wouldn't make much of a difference either way.

then again if you were to develop dumping that might speed things up in the stomach. This is an interesting topic, thank you for bringing this up.

I am assuming you have delayed emptying? Have you had any other tests? If you do have delayed emptying, did they detect it by a barium type meal?

Take care,
Bill devil
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

4hn
Regular Member


Date Joined Jul 2011
Total Posts : 77
   Posted 10/16/2011 3:03 AM (GMT -6)   
Bill,

Yes i have this, they detect it when they scope me last september. after fasting for 7 hour. There still a lot of food that remain in the stomach. I tried to Reglan but cannot deal with the side effect. Currently on domeperidone with no big difference.
My stomach will be full after eating a little amount of food. and i guess that is why i am reflux a lot. I only eat a little amount of food each day. While my gerd flare up a lot.

Still confuse what to do.. I am only 27 and this GERD problem start only 9 month ago and it getting worst.

about the muscle ring it is Pyloric muscle and the procedure is pyloroplasty. But it has some complication risk like dumping syndrome & bile reflux. From what i read that pyloroplasty did not always help with the delayed gastric emptying.

What i am afraid is the wrap will make it worst because it the trapped air will make it worst & nausea etc.
but i guess i did not have much choice as my condition is at my worst.

Ahn.

somedaysarediamonds
Regular Member


Date Joined Jul 2011
Total Posts : 363
   Posted 10/16/2011 8:37 AM (GMT -6)   
Bill could you tell me the name of your surgeon at the U of Iowa, please. If you need to tell me privately you can email me back.

Ahn, I wish you well with your decision. My only comment to you would be this: if I had it to do over again I'd make sure all my docs had determined what other digestive/gastro conditions existed prior to my Nissen surgery as it has proven difficult for the other conditions to be managed/treated due to recovery from the surgery and confusion on the part of all the docs about exactly what is what.

Not trying to encourage or discourage your decision to have NF. Just telling you how I'd do it differently if I had it to do over again. NF did help my severe acid reflux a great deal but there were pre-existing conditions which are just now being diagnosed and which require further treatment.

Rita
What matters in life is not what happens to you but what you remember and how you remember it. - Gabriel García Márquez

Lap Nissen Fundoplication August 1, 2011

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/16/2011 4:10 PM (GMT -6)   
Rita-
My surgeon at U of Iowa was Dr. William Lynch. So sorry you are still having such problems.

Ahn- It is a tough decision when you have a major issue like yours. I too hate taking reglan. If they can't get your stomach to empty faster I think the Nissen would make you miserable. hope you find some answers soon.

Take care,
Bill devil
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

4hn
Regular Member


Date Joined Jul 2011
Total Posts : 77
   Posted 10/16/2011 8:02 PM (GMT -6)   
Rita,

Thank You very much for your for your concern. Yes i will make sure everything is diagnosed well before the surgery. That is why i pending this as long as i can. But i also cannot waiting to long with all of this discomfort things.
Hope your issue is fixed soon. x

Bill,
So can i know your issue right know? How about your diet? Can you eat 3 or twice a day before your redo? I'll think i will be OK with 3 small meal a day.

Ahn

Post Edited (4hn) : 10/17/2011 2:27:17 AM (GMT-6)


opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/17/2011 11:52 AM (GMT -6)   
Ahn-
I really am not having any issues with my redo except some D and some dumping once in a while, but nothing I didn't expect. I deal with the D anyway after my gallbladder was removed in '05.

I was eating anything I wanted too after my redo in'09. If it wasn't for the esophagus hole I would still be doing great from that redo. I'm about 7.5 weeks out on this redo and can eat pretty much anything. I was eating 2 or 3 times before this redo and I can eat 3 or more small meals now if I want. I probably average 2, but that's because I do have days I'm just not hungry.

Take care,
Bill devil
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11
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