Manometry test showed 50% function in swallows. Did anyone have this before the Fundo?

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TX508
New Member


Date Joined Jul 2014
Total Posts : 3
   Posted 7/10/2014 8:44 PM (GMT -6)   
My doc has given me the choice of 360 Fundo or gastric bypass. The latter because of the low effective swallow rate of the esophagus. He is concerned about my having problems with swallowing after the 360 Fundo surgery.
I am very hesitant to do the Gastriic bypass. It is so life altering. Please let me know what your manometry test results showed. I just got this diagnosis yesterday and I am pretty stressed. Hard decision to make; either way there will be problems. I just want to try to choose the less hard. I want to do the surgery in Oct and loose a few pounds before the surgery. I do not qualify for the Bypass because of weight but because of swallow problems, lung problems etc. and my father died of esophageal cancer. That and my Barretts puts me in a higher risk category. But I am concerned about the swallow problems being complicated by my manometry results. thanks for your replies

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 7/11/2014 3:17 AM (GMT -6)   
Hiya TX508, with your swallowing problem should you not have a Partial fundoplication? Did your surgeon say why he was doing a full 360 degree wrap?
I have only 50% of my esophagus working and have had a partial wrap,im doing great with no more reflux or medication. Barry

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5029
   Posted 7/11/2014 7:25 PM (GMT -6)   
Welcome TX508.

I don't know what my score was, but I had a "wimpy" swallow before fundo. I had a Toupet type of fundoplication because of that. I can swallow as well now as before the surgery.

Do try to lose weight if you need to. As much fat as you have on the outside of the abdominal wall is on the inside in the way of the surgery. I lost weight by just not eating bread, or anything else with wheat. I never did drink sodas.

I'd skip the bypass and get the fundoplication. That will use part of your stomach, making it smaller, but more importantly it should stop the reflux which the bypass won't do.

TX508
New Member


Date Joined Jul 2014
Total Posts : 3
   Posted 7/11/2014 9:29 PM (GMT -6)   
Thanks for the reply. And I am going to try really hard to drop some lbs in the next 10 weeks.

Retired Seabee
Regular Member


Date Joined Feb 2013
Total Posts : 129
   Posted 7/12/2014 4:37 AM (GMT -6)   
I posted part of the following information previously but my swallowing was affected by my Hiatla Hernia also. Because of the hiatal hernia my LES and a portion of my stomach slid back and forth into my chest cavity. In effect, my stomach was hour-glass shaped--part above the diaphragm and part below. Whenever I swallowed, a lot of the food stayed in that upper chamber of the stomach and was free to flow back into my throat or it would trickle into the lower stomach by gravity flow. If I ate anything within a few hours of going to bed, I knew it would reflux and I would be coughing all night trying to rid my throat and lungs of it. So, very often I forced myself to vomit in order to empty the esophagus prior to going to bed.

Prior to having my Manometry test I knew that my swallowing action was being interrupted. I could feel the food going down part way, but when it got to the upper hour-glass chamber it stopped and could only gravity flow from there and I told the technician what I thought the results of the test were going to be.

When he put the probe down through my nose it went smoothly and he began the sipping part of the test. he didn't get the results that he expected so he fished the probe around and started the test over. It still didn't seem right so the fishing continued to try to get it to the proper depth. After the test was completed I went home but they called me the next day and told me that they had to do it over. The Doctor reviewed my results and knew something was wrong.

The next tests were done by the Gastroenterologist and he did it as a training session for his entire staff. He had determined that when the probe went down the first time it hit the curved part of the upped chamber and started back up. When he inserted the probe, it didn't go so smoothly--I gagged and vomited until it finally got down and then he was able to position it properly. That test likewise indicated that I had a limited swallowing action. As a result I had a Hiatal Hernia repair and a full 360 floppy Nissen. I couldn't be happier with the result. In the past year and three months since the operation I haven't had one incident of reflux or heartburn and I can eat anything that I ever did prior to all of my digestive problems. I hope you will have similar results.
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