has anyone ever repeated a manometry test or barium swallow with different results?

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GroverCat
Regular Member


Date Joined Mar 2013
Total Posts : 174
   Posted 10/15/2013 11:16 PM (GMT -6)   
Has anyone with impaired motility on a manometry test ever repeated the test and found different results? Alternatively, if a manometry showed abnormal motility, has a subsequent barium swallow test ever shown normal swallowing?

I'm going a bit mad right now wondering whether my chances of a surgical fix are out the window... I have esophagitis from acid reflux, PPis don't work well anymore, and now if my motility is impaired... what options would I even have?

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/15/2013 11:37 PM (GMT -6)   
GC-

Actually yes I have.My 1st manometry was good and my 2nd showed really bad. Had a 3rd done and it was normal. This was all within a year.

Just because you have a motility issue doesn't mean you are out of luck. That is what the modified nissens are for. A 270 or 180 degree wrap could quite well work for you.

You need to seek out more opinions and try to find a university teaching hospital that has specialists in the nissen and GERD.

I do have some motility issues now after my esophagus tear and repair. I still had a full wrap done 6 months after that tear happened without any problems.

Alcie has a nissen and she has a motility issue caused from Polio. If she is able to have one I believe you could too. You just have to find the right surgeon. Not all nissen surgeons are equal.
Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

tracks83
Regular Member


Date Joined Mar 2008
Total Posts : 149
   Posted 10/16/2013 3:41 AM (GMT -6)   
Grovercat,
 
That was a great question. I had a manometry done in 2009 which was descent for Linx. This past May I went for pre-op testing for Linx and was told to get another manometry and I was denied the procedure due to poor motlity. I had only 40% effective swallows.
 
I went to see 2 other surgeons afte the fact and was told even with the the numbers I had I could still get a Nissen. One of them did say based on the current numbers he would probably do loose wrap. He said he would want another manometry done because these tests are never "dead on" they do change. He would also want a barium swallow just to see what the working anatomy of the esophgaus is like. So hope is not all lost.
 
I am waiting for November to come so I can switch my insurance policy and I will start seeing a new Gastro, get all my tests done and then have my surgeon decide which nissen to perform on me. I just hope to God that I have a good result. Some of the stories on this forum and the facebook group for nissen fundoplication is pretty bleek.

GroverCat
Regular Member


Date Joined Mar 2013
Total Posts : 174
   Posted 10/16/2013 9:26 AM (GMT -6)   
Thank you guys. Tracks83, I hope you have good luck with your tests. Hopefully by the end of November, I'll have some better luck as well. If not, maybe I'll wait a few months and try, try again.

GroverCat
Regular Member


Date Joined Mar 2013
Total Posts : 174
   Posted 12/27/2013 11:20 AM (GMT -6)   
Tracks83, how did your manometry test go?

I had a barium swallow while back on my PPis at the end of November that showed everything was totally normal, and my surgeon said that was enough to clear me for the LINX.
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