??Barrett Esophagus Ablation treatment after GERD surgery??

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sillylilly
Regular Member


Date Joined Oct 2006
Total Posts : 317
   Posted 9/23/2012 11:33 AM (GMT -6)   
I had GERD surgery 4 years ago and I have Barretts Esophagus. My GI wants to
do radio frequency ablation treatment to get rid of the BE, which is a burn into the lining
of the esophagus where the Barretts is located. It is suppose to slough off the old tissue
and grow new tissue without the damaged cells in the esophagus. But I'm worried that
it will loosen up the GERD surgery? Does anyone know anything about this?

Thank you,
Carolyn

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 9/23/2012 8:33 PM (GMT -6)   
Carolyn-

If you have a functioning Nissen there is really no need to do anything except watch the Barretts to make sure it doesn't advance. But with a functioning Nissen it shouldn't advance since there is no longer abnormal amounts of acid in the area.
My GI used to do an EGD once a year to check it, but now I only have to go every 3 years.

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

sillylilly
Regular Member


Date Joined Oct 2006
Total Posts : 317
   Posted 9/24/2012 8:19 AM (GMT -6)   
Thank you, Bill, for responding. I agree. I am 4 years into my surgery (Hill repair) and
I think everything is OK. I have an endoscopy tomorrow so I will know more. I'm wondering
why my GI would want to do one if my surgery is still doing it's job.

Are you the Bill that has had 3 Nissen's? I'm curious about how long each one lasted, or did one
of them not work? I didn't know they would do 3 of them. Is your last one different from the
first one in any way. I've always thought I would have another Hill repair if this one failed just
because I can't take the PPI's very well.

Thanks again,
Carolyn

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 9/24/2012 8:56 AM (GMT -6)   
Carolyn-

The whole saga is a bit long so I will tell you the highlights and post a link to my whole story here from our resource thread too.

My first nissen was done incorrectly and it took almost 3 years to find out this. I had my first one done locally and was sent to Layola Medical Center in Chicago to find out what was wrong with it about 2.5 years after it was done. They did an exploratory surgery and found it was done wrong and re did it then. That was Mat of '09. All was great until during an EGD to check the barretts they put a whole in my esophagus.

What had to bw done to repair my esophagus and allow me to keep my esophagus the nissen was torn a part by the stent that had to be put in my esophagus. This happened on 2/28/11. I then had my nissen redone again on 8/24/11 and all has been great since.

I switch GI docs at my local GI group because I was kinda scared to let the same GI do any more EGDs, he is the son of my original GI doc and doesn't have "the touch" yet I feel. Anyhow, the GI I am now seeing just happened to be at the University of Iowa hospital when I had the esophagus repaired and was learning from a very great GI doc there. When I first saw him here he said I looked familiar, only about 8 months since I was at Iowa City, and after reading my chart said he remembered my case very well.

He then told me because my wrap is functioning well he sees no need to do the EGD every year anymore and wanted to switch to every 3 years since the odds of the barretts advancing with a good wrap was very very low. He has just finished up his schooling and said the new views about barretts is changing and doesn't believe ablation is needed with a functioning wrap unless it is has changed to dysplasia.

Don't be affraid to be a good advocate for yourself and seek a second opinion. In my case he am glad to have found a GI who is up to date with the new ideas concerning this. Actually the surgeon who did my first redo did want me to see the GI there and get it ablated, but I didn't want to have any extra procedures I may not actually need and am glad I held off.

Here is the link to my journey www.healingwell.com/community/default.aspx?f=45&m=2337138

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

sillylilly
Regular Member


Date Joined Oct 2006
Total Posts : 317
   Posted 9/29/2012 10:21 AM (GMT -6)   
Bill...that is an unbelievable story. I hope the doc's insurance compensated you for the hole in your esophagus. Also, that is interesting when you said your open
procedure was easiest recovery. I've read where the repairs last longer with the open surgery.
Thank God you are alright with a functioning Nissen. I hope it lasts your lifetime.

Taking your advice, I contacted my original surgeon who did my Hill procedure and he said
pretty much the same thing you did. No need for ablation if the surgery is in tact and working.

I had my EGD done and everything is fine. My GI said I don't need another EGD for 3 years.
Whoopee!

Thanks and take care.
Carolyn

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 9/29/2012 7:55 PM (GMT -6)   
Carolyn-

That's great news. The fewer times they have to go sown there the better.

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