Barret's ablation & fundoplicatio
in [Heart Medication]
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From: max on 22 Jan 2007 04:56 Hello, I'm a 45 italian male. Three years ago, after a long time of gerd syntomps, I decided to make a GI and they found a hiatal hernia and a suspect of Barrett. Biopsy later confirmed the diagnosis. Doctor suggested to start with foods care and PPI's (esomeprazolo, 40 mg), in Italy it's called "Lucen", I think it's the same drug you use in usa, just changing the name; an anti-acid syrup was also given to be used after meal. After a month, I have consulted a second doctor, who suggested me to make a second GI, because he wanted see by himself the esofagus condition. Well, he didn't found any BE, and the biopsy (9 framments from 0.1 cm to 0.3 cm) confirmed that my esofagus was completely clean. But he suggested me to continue with PPI's and take care about foods. But because of I was feeling really good (thanks to PPI's), I started to eat chockolate, coffee, and some other fat food. I never drink anyway, nore alchol and rarely a beer. I don't like coke or other gas drink. But I liked to eat, often spicy, and garlick or onions. But I was really felling good, just sometimes I felt like a "pin" behind my neck. So three years later, that is now, I decided to make a GI to check esofagus and colon (my father dead by a colon's cancer). The GI was executed by another team, nore the previous, and they found two borders around the Z line, respectively of 8 and 12 mm. The refert says "apparently metaplastic". A polyp of 5 mm was found in the stomach. The result of biopsya is expected for the 9th of february. Now I have some questions: 1) I know BE can't revert, so why, in my second GI, BE was disappeared? 2) I have read many post of Dr. Howard talking about the risk of assuming PPI's. Can PPI's be the cause of metaplasya if BE was not found in the previous GI? Can the polyp be caused by PPI's too? 3) I'm really scared about BE. My life's quality is going to worst, humour is going down. So I'm asking here about BE ablation. Well, in Italy nobody makes ablation unless you get a displasya. I think it's a nonsense. But that's it. They just talk about fundoplicatio but only if GERD syntomps are so hard to be supported. But I knew fundoplicatio cannot be taken if a BE is present. Is it true? 5) Ablation could be made before or after a fundoplicatio? Or can the two things be made together? 6) Anyway, I think living with a BE is just as living with a bomb inside, so I would like to find a place in which ablation is currently used. Do you know any european clinic which is using this technique? Or is it make in USA only? Please help. Thanks for your patience. Max
From: skunker on 22 Jan 2007 15:05 max wrote: > 6) Anyway, I think living with a BE is just as living with a bomb inside, so > I would like to find a place in which ablation is currently used. Do you > know any european clinic which is using this technique? Or is it make in USA > only? > > Please help. > Thanks for your patience. > Max Max, Don't worry about it. I have BE and it's nothing to be really concerned about. You are more likely to die in a car crash. I think only like 3% of people with Barrett's get cancer. Just continue to eat well, keep with your endoscopy schedules and, most importantly of all, relax!
From: Billy Boy on 22 Jan 2007 16:35 Max, Perhaps you should consider raising the head of your bed frame. Many people have found relief or help from heartburn by doing this. Do a search with Google. There are many sites that show lifestyle changes that can help with heartburn. On Mon, 22 Jan 2007 10:56:16 +0100, "max" <max(a)max.max> wrote: > >Hello, >I'm a 45 italian male. Three years ago, after a long time of gerd syntomps, >I decided to make a GI and they found a hiatal hernia and a suspect of >Barrett. Biopsy later confirmed the diagnosis. Doctor suggested to start >with foods care and PPI's (esomeprazolo, 40 mg), in Italy it's called >"Lucen", I think it's the same drug you use in usa, just changing the name; >an anti-acid syrup was also given to be used after meal. After a month, I >have consulted a second doctor, who suggested me to make a second GI, >because he wanted see by himself the esofagus condition. Well, he didn't >found any BE, and the biopsy (9 framments from 0.1 cm to 0.3 cm) confirmed >that my esofagus was completely clean. But he suggested me to continue with >PPI's and take care about foods. But because of I was feeling really good >(thanks to PPI's), I started to eat chockolate, coffee, and some other fat >food. I never drink anyway, nore alchol and rarely a beer. I don't like coke >or other gas drink. But I liked to eat, often spicy, and garlick or onions. >But I was really felling good, just sometimes I felt like a "pin" behind my >neck. >So three years later, that is now, I decided to make a GI to check esofagus >and colon (my father dead by a colon's cancer). The GI was executed by >another team, nore the previous, and they found two borders around the Z >line, respectively of 8 and 12 mm. The refert says "apparently metaplastic". >A polyp of 5 mm was found in the stomach. The result of biopsya is expected >for the 9th of february. >Now I have some questions: >1) I know BE can't revert, so why, in my second GI, BE was disappeared? >2) I have read many post of Dr. Howard talking about the risk of assuming >PPI's. Can PPI's be the cause of metaplasya if BE was not found in the >previous GI? Can the polyp be caused by PPI's too? >3) I'm really scared about BE. My life's quality is going to worst, humour >is going down. So I'm asking here about BE ablation. Well, in Italy nobody >makes ablation unless you get a displasya. I think it's a nonsense. But >that's it. They just talk about fundoplicatio but only if GERD syntomps are >so hard to be supported. But I knew fundoplicatio cannot be taken if a BE is >present. Is it true? >5) Ablation could be made before or after a fundoplicatio? Or can the two >things be made together? >6) Anyway, I think living with a BE is just as living with a bomb inside, so >I would like to find a place in which ablation is currently used. Do you >know any european clinic which is using this technique? Or is it make in USA >only? > >Please help. >Thanks for your patience. >Max > > Billy Boy To reply correct [at] and [dot]
From: Howard McCollister on 22 Jan 2007 18:08 "skunker" <skunker(a)gmail.com> wrote in message news:1169496318.733023.62880(a)q2g2000cwa.googlegroups.com... > > max wrote: >> 6) Anyway, I think living with a BE is just as living with a bomb inside, >> so >> I would like to find a place in which ablation is currently used. Do you >> know any european clinic which is using this technique? Or is it make in >> USA >> only? >> >> Please help. >> Thanks for your patience. >> Max > > Max, > Don't worry about it. I have BE and it's nothing to be really > concerned about. You are more likely to die in a car crash. I think > only like 3% of people with Barrett's get cancer. Just continue to eat > well, keep with your endoscopy schedules and, most importantly of all, > relax! > I agree. HMc
From: max on 22 Jan 2007 18:41
Thanks for your relaxing suggestions. But I really wish to understand the points I have asked before. So, if Mr. Howard would give me an answer I will really appreciate. It's not so easy to me to get deep informations about BE as like as I found here. Thanks, Max. Howard McCollister ha scritto: > "skunker" <skunker(a)gmail.com> wrote in message > news:1169496318.733023.62880(a)q2g2000cwa.googlegroups.com... > > > > max wrote: > >> 6) Anyway, I think living with a BE is just as living with a bomb inside, > >> so > >> I would like to find a place in which ablation is currently used. Do you > >> know any european clinic which is using this technique? Or is it make in > >> USA > >> only? > >> > >> Please help. > >> Thanks for your patience. > >> Max > > > > Max, > > Don't worry about it. I have BE and it's nothing to be really > > concerned about. You are more likely to die in a car crash. I think > > only like 3% of people with Barrett's get cancer. Just continue to eat > > well, keep with your endoscopy schedules and, most importantly of all, > > relax! > > > > I agree. > > HMc |