Successful dilation?

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buzzmoz
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Date Joined Mar 2012
Total Posts : 52
   Posted 7/9/2012 8:38 PM (GMT -6)   
Hello everyone,
I am having a dilation of my wrap this week and wonder is there are any folks who have had this done, and was it successful the first time. I am 14 weeks post op after my second fundoplication and I am still having problems swallowing properly. What can I expect after I have had this done? I'm really very anxious to get this sorted out.
Thanks for reading
Buzz

rager201216
Regular Member


Date Joined Jun 2012
Total Posts : 107
   Posted 7/9/2012 9:39 PM (GMT -6)   
Buzz,

I never has a dilation but I am 10 years post fund and having issues swallowing as well - food gets stuck and then I start having reflux symptoms but I think it is coming from the fermented food in the esophagus. Do you have any symptoms or just difficulty swallowing? I think dilation will help stretch the wrap and this will allow food to go down easier. Please post updates and good luck.

buzzmoz
Regular Member


Date Joined Mar 2012
Total Posts : 52
   Posted 7/9/2012 10:41 PM (GMT -6)   
Hi rager and thanks for your prompt response.
My swallowing sometimes starts off ok, and then it seems after a few swallows things feel as if they are backing up and I need to take 3 to 4 good hard swallows to get things moving. Sometimes I have to stop completely as things don't move at all. I am still on a soft diet and most times I seem to tolerate fluids ok depending on how much I drink. I had problems immediately after surgery which is to be expected because of swelling, but mine actually worsened after I attempted to eat meat which I had chewed well, 8 weeks post op. I also got gas bloat a few days after that which I put down to gulping in air because of excessive swallowing. That has since passed, pardon the pun. I haven't had any reflux in the true sense, but I did have a just over a week of what I think was maybe gastritis and no acid came up, but there is a sensation of a lump in my throat and what feels like maybe food/fluid in my esophagus most of the time. The best time for me to eat is at breakfast time (cereal and yoghurt) and the rest of the day is usually a challenge. I didn't have any swallowing problems pre op.
Thankyou for your well wishes and will keep you informed.
Regards Buzz.
( This is my second fundoplication due to re-herniation, and it is the same surgeon. )

rager201216
Regular Member


Date Joined Jun 2012
Total Posts : 107
   Posted 7/10/2012 12:19 PM (GMT -6)   
Buzz,

thanks man - I am having Barium Swollow next week so I will know more about what's going on. I saw my gastro yesterday and he thinks it's some nerve problem that doesn't allow my esophagus to work properly - I am not sure where he got that from but that's what he said. I won't do anything until Barium test to see what's happening.

Baza
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Date Joined Jan 2011
Total Posts : 513
   Posted 7/10/2012 12:56 PM (GMT -6)   
Hi,just had a dilation today! Didnt even know i was going for one.was just going for a endoscopy.Surgeon said wrap was a bit tight as alot of mucous was sitting at the wrap.I can tell you i never felt a thing,just the usual discomfort of a endoscope down your throat,i had no sedation either so youll be ok! Barry

rager201216
Regular Member


Date Joined Jun 2012
Total Posts : 107
   Posted 7/10/2012 1:30 PM (GMT -6)   
Barry,

what issues lead you to have an endoscopy? Let us know if dilation helped with the issues you are having. Thanks.

rager201216
Regular Member


Date Joined Jun 2012
Total Posts : 107
   Posted 7/10/2012 1:30 PM (GMT -6)   
Barry,

what issues lead you to have an endoscopy? Let us know if dilation helped with the issues you are having. Thanks.

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 7/11/2012 3:09 AM (GMT -6)   
Hi,had nissen fundoplication back in March and had lots of problems,nausea,belching,palpitations and feelings of reflux.Ended up back in hospital after 10 weeks and it turned out the crural repair was too tight so surgeon undone a couple of stitches and sent me on my way.That was six weeks ago and i still wasnt feeling well so surgeon wanted to have a look to see if the wrap was also too tight.He thought it was so that lead to the dilation.Ive had a really rough time with this surgery and i have a feeling its not over yet.I guess it just doesnt work for everyone,wether thats down to the surgeon or its just me im not sure.im happy to answer any questions you might have! thanks barry

rager201216
Regular Member


Date Joined Jun 2012
Total Posts : 107
   Posted 7/11/2012 1:20 PM (GMT -6)   
Barry,

if I can ask, who was your surgeon and which state do you live in? The reason I am asking because I can recommend the best surgeon you will find for Nissen in NYC. Since you are having so many problems this probably means your surgeon didn't do it correctly - I know one guy who had the same thing happen and couldn't eat for a year - even though he has countless dilations - he finally went to NYC for a redo and has been fine since.

buzzmoz
Regular Member


Date Joined Mar 2012
Total Posts : 52
   Posted 7/11/2012 8:36 PM (GMT -6)   
Thanks for the reassurence Barry, I sure could do with it. I will be sedated thankfully and the surgeon says that I should know if it worked within a week. I would like this all fixed up so I can get on with life, not wondering if I will be able to eat today or tomorrow without problems. I will be having the procedure done later today and hope that one dilation will be enough.
Will keep you informed
Regards
Buzz.

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 7/12/2012 3:04 AM (GMT -6)   
Hi Rager201216,i live in Northern Ireland so im stuck with a surgeon who is the only one in the country apparantly can do this surgery.Im now looking into going to England to find another surgeon for a second opinion which is very hard to do over this end of the world.Thanks for your help.

Hi Buzz, hope all goes well for you! Let me know how you get on. Barry

rager201216
Regular Member


Date Joined Jun 2012
Total Posts : 107
   Posted 7/12/2012 10:19 AM (GMT -6)   
Barry,

I am not sure if that's an option for you at all but you can always fly to NYC and see Dr. Salky who is one of the best!

buzzmoz
Regular Member


Date Joined Mar 2012
Total Posts : 52
   Posted 7/12/2012 8:33 PM (GMT -6)   
Hi all,
I was advised by my surgeon, after waking up in the procedure room that he had done the dilation and to give it one to two weeks to see if it worked. On fluids only for 48hrs then back to a soft diet. Didn't get to ask any questions as to whether it was very tight or what. I won't see him now until the end of the month so I am hoping all is well.
Thanks to everyone reading, will keep you posted.
How are you feeling Barry?
Regards Buzz

Baza
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Date Joined Jan 2011
Total Posts : 513
   Posted 7/13/2012 3:46 AM (GMT -6)   
Hi Buzz,im ok thanks,still feel foods slow to go down,im on a soft diet aswell.My main problem is nausea which ive had constantly from my first op,and every time i drink i get a lot of gurling or bubbling in my esophagus.i have a feeling the wrap maybe too tight,though surgeon told me he used a bougie when doing the wrap.Saying that,i know there are various sizes of bougie,s! Im also starting to worry if i have a motility problem as that can cause swallowing issues after a nissen.Im a terrible worrier! lol which doesnt help. Let me know if your dilation helps. Thanks Barry

buzzmoz
Regular Member


Date Joined Mar 2012
Total Posts : 52
   Posted 7/14/2012 9:45 PM (GMT -6)   
Hi All, Well I hate to say it but I think that nothing has improved since the dilation. In fact, I am even getting pain between my shoulder blades when I drink anything thick or when I attempt to eat. Does anyone know why my swallowing would become more difficult 8 weeks post op? I can understand it getting better after swelling decreases or not improving at all, but getting worse is not part of the normal healing process surely?

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 7/15/2012 4:57 AM (GMT -6)   
Hi Buzz,8 weeks after surgery is still early in recovery,ive read some posts where people have taken 6 months to feel any better.Really i dont know,im in the same boat as yourself,seem to be in a grey area with this.When i was going for surgery i didnt realize your hiatus was tightened up aswell which can also cause difficulty swallowing and thats what happened to me.Hopefully time will sort this out for you,if not your surgeon can undo your wrap to a toupet 270 which will resolve any swallowing problems. Barry

buzzmoz
Regular Member


Date Joined Mar 2012
Total Posts : 52
   Posted 7/18/2012 6:57 AM (GMT -6)   
Hi Barry. My wrap is a 180 apparently. Was yours a 360? I seem to be fluctuating with gas bloat as well. My first fundoplication was very successful and I never had any problems with swallowing. I recall a little bloating but not like this. I had mesh the first time as well, but apparently the new mesh repair is above my stomach this time. He said that the wrap might be getting caught up on that, but I'm assuming that he found the wrap tight as well or he wouldn't have dilated it I guess. I know things need time to settle down but add swallowing problems into the mix and it's hard not to feel a little disheartened. Sometimes I can't eat much at all and often feel hungry all the time.
Roll on the end of the month and then we can see what his next plan of attack is.
Take care
Regards
Buzz

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 7/18/2012 8:33 AM (GMT -6)   
Hi buzz,i know how you feel,its so frustrating,you get this surgery thinking its going to help you and the opposite happens.guess we,re just the unlucky ones who get problems.I had a 360 wrap which surgeon says is all he does as any less wouldnt last very long.Im going to ask if he can take mine down to a 270 as i think i had enough,this is making life miserable,i think i was better with the reflux lol. Its sounds strange that your having problems with swallowing and bloating with a 180 wrap,must be something as you say with the repair above your wrap.Hope you get sorted buzz! Thanks! Barry

buzzmoz
Regular Member


Date Joined Mar 2012
Total Posts : 52
   Posted 7/19/2012 6:26 AM (GMT -6)   
Hey Rager 201216, How are you going? Did you end up having a barium swallow meal done and if so, what were the results?
Regards buzz
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