Pyloric sphincter

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DOGGBONES
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Date Joined Apr 2012
Total Posts : 707
   Posted 4/24/2013 7:17 AM (GMT -6)   
As always, I'm just trying to leave no stone unturned......
 
I was going through old threads digging for info. when I came accross a couple threads talking about the pyloric sphincter being the possible root cause of gerd. WJT, had brought it up and mock turtle (wonder were he is now?) made comments to support the idea. To add, there was a past member gerdo who had claimed to be cured by dilating the pyloric valve.
 
Any thoughts that this could be something that has been overlooked? We always seem to give the most attention to the les. I'm hoping to find more info. and research on the pyloric valve connection to reflux.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 4/24/2013 8:39 AM (GMT -6)   
Hi DOGBONES,
It's a good question.  The only thing that makes me really question the idea is that if the pyloric valve is loosened, it might make it easier for bile to travel into the stomach the way a loose LES allows it all into the esophagus. I realize that there's a difference between dilation and loose, but there have been cases when surgeons/GI docs have dilated a wrap and thus created increased reflux.
 
Here is an article that discusses the issues of bile reflux with a loose pyloric valve:
 
Good luck in your search for answers!
Best wishes,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 4/24/2013 8:51 AM (GMT -6)   
Denise,
Thanks for the link. I believe wjt, mock and gerdo were ref. the pyloric being "clamp down" or shut tight due to stress. However you are right that it being too loose may allow bile into the stomach. Hopefully others will jump in on this post as well for more thoughts.

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 4/24/2013 10:34 AM (GMT -6)   
Interesting link......
 
Sorry, I can't seem to get the link to show contents. I will contimue to work on.
 
The best I can do is click on link, then click search this title page, then click on article below.

Post Edited (DOGGBONES) : 4/24/2013 9:47:58 AM (GMT-6)


opnwhl4
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Date Joined Dec 2008
Total Posts : 4961
   Posted 4/24/2013 6:44 PM (GMT -6)   
DOGGBONES

You are right that it was discussed about it being clamped down and making it very hard for food to exit the stomach. When I was about to have the surgery to remove my esophagus the surgeon told me he would have to actually have cut this or food wouldn't make it to my small intestine without the normal stomach to push it through.

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

TheSiXness
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Date Joined May 2012
Total Posts : 541
   Posted 4/25/2013 4:05 PM (GMT -6)   
The roux en y is often performed on people with bile reflux for this reason. Why not just completely remove the problem by making a new connection to the stomach? Thats the thinking at least and it seems to work. Also, in cases with intractable gerd, the roux en y has been successful in relieving symptoms after a previous failed fundoplication.

Heres a link! oh joy!

http://www.sages.org/meetings/annual-meeting/abstracts-archive/laparoscopic-roux-en-y-gastric-bypass-for-intractable-gerd-following-a-failed-nissen/
 
made link clickable, but it doesn't work...

Post Edited By Moderator (dencha) : 4/26/2013 8:22:21 AM (GMT-6)


inpinkagony
Regular Member


Date Joined Mar 2013
Total Posts : 274
   Posted 4/25/2013 4:17 PM (GMT -6)   
Haha, I read about this somewhere and i was thinking about find if mine is working properly or not because I do not have a hiatus hernia, but I do not know if i have loose lES or loose UES but to me I thought this bit of information is interesting because i remember when all this started I can feel pain mainly in my lower abdomen so I was thinking maybe it has to do with my small intestine, this is interesting point you make, I wonder how it can be diagnosed? I want to discuss this with my doctor.

I think for me it's dyspepsia thing because I get the bloating full feeling so quickly that's why i can eat a little even tho it makes a lil difference, I still reflux.
I won't let you ruin me, if there is will there is way, day by day and I shall make it.

GERD/LPR 2 months yappay! :) LOL

Roah, college student, 21

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 4/26/2013 6:11 AM (GMT -6)   
Sixness,
I understand your thinking on this, however (for me anyways) I would like to avoid any surgery if I can or as a last result.

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 4/26/2013 6:13 AM (GMT -6)   
pink,
Same here, a long time ago.....this all started (for me) with pains in my lower abdomen.

inpinkagony
Regular Member


Date Joined Mar 2013
Total Posts : 274
   Posted 4/26/2013 10:39 AM (GMT -6)   
Dogg:
Hahaha mine started as these weird cramps that couldn't be explained and first diagnosis was gastritis which I did have, and I got on carnival ride, so I think the acid let to my esophagus being inflamed and I was put on PPI but I was suppose to be on short trial never figured out when to get off so I took it for 4 months and now my whole digestive system is messed up since I got off lol. we really are the same. Never going back on those darn things, :)
I won't let you ruin me, if there is will there is way, day by day and I shall make it.

GERD/LPR 2 months yappay! :) LOL

Roah, college student, 21
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