My oestophagus motility problems, but wrap is intact ,help please

Rita-

sounds like you are having issues similar to when the wrap is swollen and foods sits at the wrap. One thing I found was to eat foods that have enough "body", for lack of a better word, so the muscles can push it through. I found that food such as thick mashed taters and other sticky soft foods would hang up and gradually wash through. This is a huge cause for people feeling reflux in the first months following a Nissen.

Since they see it has slipped a bit that may be causing some dysphagia as well, if it's far enough out of place. It could be below the LES and choking of the top of your stomach so to speak. I had some what this problem when my 1st nissen wasn't done correctly.

I do have some good news.... I've been through the ringer with 2 redoes and a torn esophagus and I found the recovery on my redoes were much easier than the 1st time. I had severe scarring after the tear repair and had to have the last redo done as an open surgery and found that to be my easiest recovery.

If you do have to have it redone be sure to find a surgeon who is very good at redoes.
Oh, I also found it helpful to takes a few drinks between bites and really focus on my swallowing if food was sitting at the wrap.

Take care,
Bill

Rita,

I have poor motility and was offered a dilation which I refused. I sincerely believe motility will not be helped by dilation or surgery. I suggest the cause of the motility issue has to be discovered.

I know my motility issue is from having had polio as a child. It's always been slow. It's a muscle problem. Dilation will only open my nice wrap, which is working, and loosen my useless LES (lower esophageal sphincter). Then I'll have reflux again from incompletely closing valve.

I suggest more testing, barium swallow maybe, to see what exactly is happening to food when you swallow. If it goes down the throat fine and sits at the top of the wrap, then maybe dilation is actually needed. It there is a muscle problem (actually a nerve problem) like I have, just slow going down but going through the wrap when it finally gets there, then dilation won't help.

Hi alcie thank you for teling me your story.I have had a barium meal, the radiographer told me the reflux was back 'big time'. Infact I have no reflux what she was seeing according to my Consultant was the barium collecting by the wrap as it has moved down slightly, and turning me during the procedure she could see the barium going back the wrong way. I had to have a dilation after my wrap 12years ago which worked great hoping it does this time.