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Gastroenterology (Expert Forum)
Surgical Complications in Fundoplication - lack of Stomach Motility
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Surgical Complications in Fundoplication - lack of Stomach Motility
by Monime, Apr 09, 2005 12:00AM
My 14 year old daughter had a nissen fundoplication to correct her reflux. Both of my other children have had this as well. With no complications. After her surgery she was unable to swallow. This caused them to think it was too tight and needed dilation. However subsequent endoscopy showed a complete stop of stomach motility. She is in a leading medical center in a large city. Her physician's seem to be taking a wait and see attitude, leaving her with an NG tube, IV fluids and TPN for nutrition. There seems no end in sight. Is there any hope her stomach will wake up? Can a complete reversal of the surgery correct this? Can her stomach be so angry that it refuses to work? I have seen several different pediatric surgeons at this MEDCEN and their resident teams all with different opinions. We are frustrated and scared, and need answers. Can you help?
Doctor's Answer
by Kevin Pho, MD, Apr 11, 2005 12:00AM
, Apr 11, 2005 12:00AM
In difficult cases like this, when different doctors give different opinions, it means that there is unlikely to be one right answer.
I cannot give further comment without examining the case. It is possible that the surgery is associated with the gastroparesis.
There are medications like Reglan or Cisapride (not available in the US) which may be of help.
More experimental therapies like gastric pacemakers have been used with variable success.
These options can be discussed with your personal physician or in conjunction with another GI opinion.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
I cannot give further comment without examining the case. It is possible that the surgery is associated with the gastroparesis.
There are medications like Reglan or Cisapride (not available in the US) which may be of help.
More experimental therapies like gastric pacemakers have been used with variable success.
These options can be discussed with your personal physician or in conjunction with another GI opinion.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
