For those who have not seen my previous posts on this farely rare op, its for T1 cancer of the oesophagus and stomach where a length of jejunum (intestine), 10cm in my case is placed between the remaining oesophagus and remaining stomach, if any. The main advantage of this op is no reflux in 90% of cases. The history of this op goes back 50 years or more when the op was done originally for those suffering from bad acid reflux. It has more recently been introduced for T1 cancer sufferers.
6 months after my op I have just had a followup meeting with my surgeon. I am fit and just about back to normal except for the usual digestive problems of in my case occasional dumping with associated feeling very ill occasions due to insulin dumping (is this what causes all dumping?). I have no reflux and hence can carry on with my car maintenance under the car! I do suffer cramping after meals and lots of wind with a blown out feeling. I can induce relief by force burping. I burp normally, a lot. I asked the surgeon where I burp from and he said he did not know! As one would expect everybody is different.
I asked why I was not getting reflux. It was expalined to me that jejunum is a very soft curly tube that opens up as food passes down and forms like a spiral. Food reflux is then very difficult. I have noticed initial reluctance of food to pass down the jejunum until it has opened up presumably due to gravity! A few minutes later food passes down easily if the remaining stomach is not full of wind. A survey performed many years ago and available on the internet shows about 90% non reflux success.
I learnt from a lot of research that the jejunum is actually better at resisting acid attack than the oesophagus and stomach. When you think about it food and acid go down into the intestines.
Like always these are my personal observations and patients should discuss this option for T1 with their surgeon. The same result does not always result. This operation is sometimes offered where there is only T1 cancer which the surgeon is sure has not spread. Lifestyle is much better than the 'traditional pull up' with the ensuing reflux problem.
It would be interesting to ask surgeons where the pull up is being performed, if jejunum can be inserted further down with twisty bits to stop reflux? Can anybody answer this?