Esophageal Motility post-Nissen - what was your experience?

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Brianala
Regular Member


Date Joined Apr 2014
Total Posts : 91
   Posted 7/2/2014 9:31 AM (GMT -6)   
Just got back from a follow up with my GI wherein he was very realistic about setting expectations. He noted that my upcoming Nissen Fundoplication is unlikely to improve my esophageal dysmotility, and may even make it worse, if the wrap is too tight. This is information I've been aware of from my research. I'm also aware that motility is likely to just get worse over time anyways, and I'm prepared for that eventuality.

I'm just curious to hear from others who have problems with swallowing and contractions that may have also had a Nissen Fundoplication. Did your motility get worse after surgery? How have your motility issues progressed over time? I've read a lot of clinical information about treatment and prognosis, I'm just curious to hear some first hand experiences, and any advice or things to keep in mind from those who have been there.

Thanks!

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 7/2/2014 11:36 AM (GMT -6)   
Hiya Brianala,I had a 360 nissen done a couple of years ago with an undiagnosed motility problem and went through a really rough time.I ended up having to fly overseas to another surgeon to carry out testing and redo the wrap to a partial fundoplication.
 At least your surgeon is aware of your situation and will create a wrap to suit.
 Since i had my partial wrap i have been great with no medication etc. at times im still aware i have a swallowing problem with things sticking or sitting in my esophagus but that is very rare now.
 Can i ask you what degree of fundoplication are you getting? What was your manometry results?  Barry

Brianala
Regular Member


Date Joined Apr 2014
Total Posts : 91
   Posted 7/2/2014 1:59 PM (GMT -6)   
Hi Baza,

I don't know the degree of fundoplication, to be honest. My surgeon is aware of my manometry results but did not indicate which/how much of a wrap will be performed.

Here is a summary of my manometry results:

LES pressure 39
UES pressure 124 (Hypertensive)
92% peristaltic, 8% failed swallows
26% double peaked

I'm also seeing a rheumatologist to be evaluated for autoimmune disorders, and I'm hoping to have results of bloodwork back next week. I've mentioned this to my surgeon as well, and I plan to talk to my rheumatologist about the surgery again, too.
Hiatal Hernia, Esophagitis, Gastritis, Dysautonomia

jamosca
Regular Member


Date Joined Aug 2013
Total Posts : 162
   Posted 7/2/2014 3:41 PM (GMT -6)   
Hi, I was wondering did you realise you have motility problems and have problems in food getting stuck?

I have had the ph/ manometry test 3 times . The first time showed slight motility problems last august , in April this year it showed that basically the bottom half of the esophagus doesn't work so literally I should be a walking miracle. I suffer from food regurgitation mainly and swallowing of my salivia when refluxing, I guess it's a protection mechanism . I am waiting for my surgeon to decide whether he's going to operate . I have read that motility problems can be caused by gerd .
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