im with consultant next 26jan18. However i got this endosc report and it contains a couple of items i wldnt mind a heads up on should anyone know so that for next apptmt im forearmed/forewarned. Apologies its written reverse chronology diary style. Much appreciate any help. Good health and merry christmas to all. G
Summary/background .. get reflux but improving. No C. Worried about progression to barretts. Got oesoph narrowing due to stricture. Had HH nissen fundo 360 op 6sep17. Just had barium + endosc/stretch which have raised some qs. Generally fit/healthy male aged 60.
Lot of soreness after endosc/stretch 12dec .. felt he'd really had a play around down there. But the goodnews is .. at the mo .. i dont appear to be getting reflux. However my food seems to be taking ages to go down .. somethings not right. Im hoping that the endosc/stretch session had caused plenty of inflammation. I tried to eat normally plus after endosc (to test stretch) but now reverted to soft food diet to see if a healing period required and improves digestion similar to post HH op diet.
Since HH op .. 6sep17 .. I get alot of air/pressure in my stomach. I believe it was this pressure that was pushing reflux up. Pre bed ive taken to doin 5-10mins of gentle floor exercise to reduce that stonach pressure and burp up any excess air pre sleep. This helps.
12dec17 had sedated endosc at guys. On basis of barium results consultant decided to give me 20mm stretch (had one a year earlier). The thinking is that whilst food backing up my oesoph will always be dilated so need a stretch to enable food to pass.
Endoscopy report reads ... Severely dilated oesoph with liquid food residue. Cobblestone appearance of lower oesophageal mucosa ; no oesophagitis. Some slippage of fundoplication on retro-flexion - ocj dilated to 20mm. Solid food residue in stomach, rest of stomach, pylorus and duodenum normal. Diagnosis .. stricture in oesoph, delayed gastric emptying. Recommendation .. may need revision surgery.
With respect to the report
.. Severely dilated oesoph with liquid food residue; dilation known .. obviously some back up + id been veggie juice only 2 days prior.
.. Cobblestone appearance of lower oesophageal mucosa ; Anyone explain this one. Immed i thought we are on our way to barrets but consultant said no (to keep me hapoy??). Would like more info on this pks.
.. no oesophagitis. I take this to mean that general state of oesoph lining not bad .. ie no evid of reflux burning so i was well pleased. Thats interesting cos in morning i feel i get reflux. Consultants view was he believed this reflux was not acid from stomach but the fermented food residue coming up.
.. Some slippage of fundoplication on retro-flexion - ocj dilated to 20mm. No comment.
.. Solid food residue in stomach. Whats this?? Its new. Consultant said it may be to do with nerve damage in op that wld repair with time. More info pls.
.. rest of stomach, pylorus and duodenum normal. No comment .. sounds ok.
.. stricture in oesoph .. no comment .. this is a known.
.. delayed gastric emptying. Believe related to solid food residue item above. More info pls.
.. Recommendation .. may need revision surgery. Im not sure hrre only to say Pre endosc consultant felt that my reflux cld be due to nissen wrap being too tight.
11th december 17 . Barium at stThoms. Could see i still had oesoph narrowing and food backing up. Also cos of baggy oesoph there was a spot in oesoph where food residue remained.
Prior to 11dec17
Still experiencing reflux but 5 to 6hrs into sleep and it appears to relate to when i turn in bed (elevated) as if pressure pushing it up.
Your comments appreciated.