Prospective Trial on the Clinical Feasibility of a New Full Thickness Endoscopic Plication Device

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GC1pink
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   Posted 7/23/2013 8:47 AM (GMT -6)   
Has anyone any knowledge on this procedure or company - http://www.clinicaltrials.gov/ct2/show/NCT01798212
 
I am looking at all options for surgical procedures so I would appreciate all information.
 
Kindest regards :-)

Alcie
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Date Joined Oct 2009
Total Posts : 5004
   Posted 7/23/2013 4:39 PM (GMT -6)   
Do you live in Austria? That's where the trial is going on.

Personally I wouldn't do any sort of trial or new surgery until there is proof it is better than what's available now.

Mollymarie
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Date Joined Mar 2013
Total Posts : 58
   Posted 7/23/2013 4:55 PM (GMT -6)   
Don't do it!!!!

GC1pink
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   Posted 7/24/2013 12:16 AM (GMT -6)   
No I don't live in Austria, but I do want to be aware of all the surgical procedures that are available to me at the moment - that includes plication devices as well as surgery.
 
I would like to actually just get the hernia repaired on its own and see if that cures the problem - as I had no issues at all until the hernia appeared last year - but trying to find a surgeon to do this is proving quite difficult. rolleyes

phil-uk
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Date Joined Jul 2012
Total Posts : 190
   Posted 7/24/2013 2:21 AM (GMT -6)   
GC1pink, I read somewhere ages ago that they stopped doing the Hhernia repair only, because the repair would often fail, and the patient would return with the original problem

This abstract explains some of the history of Hhernia surgery,

"History of Antireflux Surgery

It was not until the early 1900s when radiologic studies became ubiquitous that hiatal hernia was recognized as a pathologic entity. Early attempts at repair centered on hernia reduction and hiatal closure without fundoplication. Because the underlying defect of the lower esophageal sphincter (LES) was not repaired, surgery failed to control symptoms, and the procedure was not widely embraced.

In 1951, Philip Allison and Norman Barrett established the causal relationship among hiatal hernia, gastroesophageal reflux, and erosive esophagitis. Allison described the crural sling and clasp musculature as the anatomic correlate to the LES and the primary mechanism that prevents pathologic reflux. His method to restore the antireflux mechanism included reduction of the herniated cardia with suture fixation to the abdominal surface of the diaphragm followed by loose closure of the hiatus. Unfortunately, his attempts at surgical repair fell short and he had a long-term recurrence rate of 49% at 20 years.

In 1939, Rudolf Nissen improvised a fundoplication to protect an esophagogastric anastomosis in a young man with a penetrating esophageal ulcer. During follow-up, Nissen noted that the patient's reflux symptoms were eradicated. Some years later, and disappointed with contemporary hiatal hernia repairs, Nissen performed a fundoplication on a man with an incarcerated paraesophageal hernia. The clinical outcome was excellent. He published the first description of this procedure in 1956, thereby ushering in the modern era of antireflux surgery."

http://www.nature.com/gimo/contents/pt1/full/gimo56.html

=================================================================

o/t, Hi robichris, welcome to Healingwell-gerd. Your barrettswessex website has been very informative over the years. Thank you.
Perhaps you could start a new topic to introduce yourself?

All the best

phil

Mollymarie
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   Posted 7/24/2013 3:56 AM (GMT -6)   
GC1pink, did you contact my dude?

hopegood
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Date Joined Jun 2013
Total Posts : 93
   Posted 7/24/2013 8:30 AM (GMT -6)   
Hi robichris

Did you go nissen for gerd or Lpr? Did you ever have sore throat?

GC1pink
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Date Joined Nov 2012
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   Posted 7/24/2013 9:45 AM (GMT -6)   
Hi Molly Marie,
 
I actually went to see a Dr Campbell at Cheadle - as my GP arranged an emergency scope before I went on holiday - scope was all clear but I am still in agony, burping like mad, chest pain and trouble swallowing - I'm beginning to wonder if it's bile reflux or NERD?
 
I have another scope on Friday and am getting to the utter end of my tether with this - it is so painful and so depressing.

GC1pink
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Date Joined Nov 2012
Total Posts : 532
   Posted 7/24/2013 1:33 PM (GMT -6)   
Hi Phil,
 
Many thanks for the explanation - I still feel that all my problems have stemmed from the hiatus hernia appearing last year - I don't feel any gerd, don't get heartburn - do sometimes get an irritated throat now - my PH study last year was normal, 3 endoscopies showed no inflammation or lesions - I'm told my sphincter is normal - no-one seems to have a clue what is going on, but all I know is that my breastbone kills me, the pain could drop you to your knees sometimes,  I feel like air is constantly trapped in my gullet, and I have pressure all the way up to my throat, and now I have swallowing issues in the last 5 weeks, since it all flared up again - it's making me rather depressed now, and I don't want to live like this.
 
So far only Torax have offered to consider this - you read so many stories about women who have had lap band surgery and have had their hernias fixed at the same time, and now have no more reflux.
 
I figure it's got to be worth a shot. rolleyes

phil-uk
Regular Member


Date Joined Jul 2012
Total Posts : 190
   Posted 7/24/2013 4:16 PM (GMT -6)   
Hi GC1pink, you mention breastbone pain. Have you looked at the symptoms of costochondritis?
I know nothing about this condition, but have read about it here,

GERD and costochondritis seem to coincide...
http://www.healingwell.com/community/default.aspx?f=45&m=2654611

Perhaps try a google search?

cheers

GC1pink
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Date Joined Nov 2012
Total Posts : 532
   Posted 7/25/2013 2:45 AM (GMT -6)   
Hi Phil,

You are very good at your research! Yes I also have costochondritis, I've had it for years, however the pain I am getting is behind the breastbone, and sometimes really bad pain as food goes through the sphincter. Strangely if I pull my stomach down slightly the pain in the breastbone goes away, so it may be linked to the hernia.

We shall see what the biopsies bring and the next barium swallow.

Pat Tall
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Date Joined Aug 2012
Total Posts : 950
   Posted 7/25/2013 1:04 PM (GMT -6)   
GC1pink 🌟
What did you mean. "So far only Torax have offered to consider this". I was wondering if Torax contacted you personally regarding their Linx or something else . Thank you for a reply.

GC1pink
Veteran Member


Date Joined Nov 2012
Total Posts : 532
   Posted 7/25/2013 2:30 PM (GMT -6)   
Hi pat,
 
No - I contacted Torax myself to see if they would consider repairing my hernia on its own, without having the linx at this stage to see if that helped my issues - and they replied that yes that would be a possibility.

hopegood
Regular Member


Date Joined Jun 2013
Total Posts : 93
   Posted 7/25/2013 2:38 PM (GMT -6)   
Can H hernia heal on its own? If so, Gerd/LPR can resolve by themselves?

GC1pink
Veteran Member


Date Joined Nov 2012
Total Posts : 532
   Posted 7/25/2013 3:39 PM (GMT -6)   
Hi Hopegood,

I wish to God that a hernia could heal on it's own - but apparently not, although not one single consultant has ever been able to give me a reason why not? If you can get rid of a small hernia quickly before it causes permanent stretching of the LES sphincter it should help your GERD - if only we knew how to do this without surgery.

phil-uk
Regular Member


Date Joined Jul 2012
Total Posts : 190
   Posted 7/26/2013 7:40 AM (GMT -6)   
GC1pink, The costo thread I linked to just stayed in my memory for some reason, seemed relevant!

================================================================

Hopegood, re the HH repairing itself, there are a number of ideas to help the HH that have recently been involved in small scale studies.

1, is belly breathing, or abdominal breathing...

"

Diaphragm breathing where you push out your tummy and not your chest has been proven to re-tone the crus muscles that help work the LES (Lower Oesophageal Sphincter)

 

http://www.ncbi.nlm.nih.gov/pubmed/22146488

 

http://www.nature.com/ajg/journal/v107/n3/abs/ajg2011420a.html

 

http://en.wikipedia.org/wiki/Diaphragmatic breathing  do it at least 5 times a day

 
"
copied from JPT's thread, 10 ways to beat airway reflux

2, is the use of Chiropractic manipulation.

You could search Youtube and google for more info on both these.

I tried both, but the only one I continue with is the Belly Breathing.

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