Merendino

[Thithach]

Hi. Has anyone here had the merendino jejunal interposition?

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A year or three ago, Medway, who posted on this forum, had a similar operation. The technique is not done very much nowadays. Sadly, Medway is no longer with us, but the surgery itself went OK as far as I remember.

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Here is a link:

healthunlocked.com/oesophag...

[Thithach in reply to Hidden]

Thank you Alan. I am sorry to hear about Medway. I had seen his posts. It is rare due to technical aspects. I have a similar decision to make roux or merendino. I do not have cancer but serveral failed fundos and its salvage time. What was your op Alan?

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Personally I had a repair of a ruptured oesophagus (non cancerous). I am sympathetic with patient consultation about these procedures but it is also quite a technical, specialist issue for experienced surgeons and one has to listen very carefully to their judgement about any longer term issues.

[Thithach]

Yes Alan, very true. It's difficult when one recommends something and another has a completely different opinion. I have have many tests and consultations from the best and they boil down to the Atilla Csendes salvage op' of Hill repair, selective vagotomy, 70% resection and roux 60cm or the Merendino, very doubtful vagals can be spared so pyloroplasty likely. In case 1 the risks of roux stasis and stasis of the remnant are there. With Merendino, alkaline reflux is a possibility, plus all the usual surgical, post op' risks.

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To be fair it is a very specialist surgical area that is pretty rare. I wish you well for it all.