Pinch/twist Hiatus? : Hi I am 8mths... - Oesophageal & Gas...

Oesophageal & Gastric Cancer

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Pinch/twist Hiatus?

ChickenDanshak profile image
5 Replies

Hi

I am 8mths post operation, chemo. In August I started to get discomfort occasionally when eating, then acid reflux and regurgitation. I was referred for an endoscopy and possible dilation.

4 weeks ago endoscopy preformed, not able to have dilation as to much food present from 24hrs before. Another one booked which I had yesterday.

Dilation and Botox to the Pylorus successful even though food residue and fluid ++ found in the conduit.

The surgeon also found which he believes is the problem, a pinch/twist at 41cm/hiatus. So I have been referred for a barium swallow and also to monitor how I progress with food.

Anyone else had or have this ?

Best wishes Jennie

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ChickenDanshak
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focused1 profile image
focused1

I haven’t had cancer but I have had hiatus hernia with all the endurance unpleasant tests you have had plus a tube down my throat attached to a 24 hour monitor. I had NHS treatment and the amount of tests I had before very successful and lifestyle changing surgery really prolonged the agony and enhanced the condition .

Mine started when my ability to swallow anything glutinous was scary . Mainly dry bread but expanded to all meat then I had to carry a drink at all times with me . Presented with a cocktail of drugs initially which I found to not be good long term -almost given as a pacifier as I know myself and I knew I couldn’t live with this and wasn’t going to .

Positives - After surgery which included a liquid diet for a month - I bought a blender . I stuck to the eating sheet rigorously. Joined the PARIS exercise scheme . I lost 18kg and aged 64 I am a new person . I maintain a 10-12 kg weight loss since 2018 and mentally / emotionally/ physically I am better than ever .

Smithyrat159 profile image
Smithyrat159

Hi ChickenDanshak. I had Ivor Lewis 2 years ago and had a 'kink' in my conduit right from the surgery. The consultant thought it might settle down itself after awhile so I started intravenous and then tube feeding. I couldn't keep any solids down but I could drink liquids and things like smooth soups and custard etc. I was tube feeding for 9 months but it didn't right itself so my options were either leave as is and have a feeding peg in my stomach or more surgery to correct the kink. After loads of deliberation I chose surgery. Last August I had the operation and, touch wood, have had no trouble eating since, albeit on the modified diet that we all have. I take about 2000 cals per day but I do have fresubin as a supplement to help with calorie amounts. However because the 2nd surgery essentially uses the same surgical entry points as before, the nerves there were cut all over again and this has caused some pain issues which are still unresolved. I'm presently taking pregabalin for that but without much improvement and I've been on a pain management waiting list since January. In short it's definitely a decision to thoroughly discuss pros and cons with your surgeon if it should come to that. I hope yours resolved itself quickly as they told me sometimes happens, good luck, I wish you well, it's a battle isn't it one way and another. We're still here though and ready to fight on. Best wishes.

ChickenDanshak profile image
ChickenDanshak in reply toSmithyrat159

Hello Smithyrat159

Thanks for your reply, it is helpful, obviously I have to have it confirmed with the swallow, I had the stretch on Tuesday and I have had some small meals which is resulting in lots of hiccups and burping. My thoughts are if it is there it’s there and I would prefer surgery to sort it if they can, my eating was very different before this occurred in August but what I can eat now is minimal. I need to be patient and see what’s what first.

I am doing a mixture of the prescribes shakes and soft foods.

Thank you again, good to hear your problem was sorted

Best wishes Jennie ✨🌻

liz_crisp profile image
liz_crisp

i had what the surgeon referred to as a UBend and adhesions, discovered after a gall bladder op

ChickenDanshak profile image
ChickenDanshak in reply toliz_crisp

Was there a solution for you Liz or have you re-adapted your already adjusted way of eating.

What were you symptoms if you don’t mind me asking

Best wishes Jennie ✨🌻

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