Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Gastroenterology (Expert Forum)
nissen fundoplication slipped
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.
nissen fundoplication slipped
by rubensmom, Feb 10, 2007 12:00AM
My 15 year old son (who has severe cerebral palsy)recently had his 2nd endoscopy. We knew from the 1st that his nissen had come apart, but before we put in the G/J tube, i saw blood when i changed his mini-button. they redid the endoscopy, found an ulcer and also that the clips from the slipped nissen are cutting into his stomach. They are referring him back to pediatric surgery, but is this urgent and how much damage can this do the stomach? I saw fresh red blood when i changed his button, not older dark blood. I just felt a little rushed and would greatly apreciate a better answer.
Doctor's Answer
by Kevin Pho, MD, Feb 11, 2007 12:00AM
, Feb 11, 2007 12:00AM
I can't comment on the urgency without evaluation or reviewing the records.
I agree with the referral to pediatric surgery to possibly correct the Nissen. This is especially true if there was presence of blood.
Regarding the damage to the stomach, I cannot comment on this without knowing the results of the endoscopy. Many possible diseases, ranging from serious disorders like an ulcer or perforation to more mild causes like infection or inflammation, can cause some of the symptoms you describe.
These options should be discussed with your medical team. Another opinion, preferably at a major academic medical center, should be sought if the treatment course isn't clear.
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.
kevinmd_
I agree with the referral to pediatric surgery to possibly correct the Nissen. This is especially true if there was presence of blood.
Regarding the damage to the stomach, I cannot comment on this without knowing the results of the endoscopy. Many possible diseases, ranging from serious disorders like an ulcer or perforation to more mild causes like infection or inflammation, can cause some of the symptoms you describe.
These options should be discussed with your medical team. Another opinion, preferably at a major academic medical center, should be sought if the treatment course isn't clear.
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.
kevinmd_
Member Comments
by karat1, Mar 20, 2007 12:00AM
any damage done to the stomach are esophagus can not be repaired only removed. sounds like a botch job to me, seek legal advice.
