← Return to Achalasia



Digestive Health | Last Active: Jan 7 11:31pm | Replies (58)

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20 years ago I had a laproscopic heller myotomy with a wrap . Now I go 3-4 days where I cannot eat or drink again....had recent test. shows complete absence of any peristalsis and narrowing of gastric cardia of esophagus. thorasic surgeon wants to undo wrap??thoughts?? or redo myotomy? thoughts? thank you.

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Replies to "20 years ago I had a laproscopic heller myotomy with a wrap . Now I go..."

Hello @leeross123 and welcome to Mayo Connect. I am sorry to hear of the problems you are having 20 years after your previous treatment. We have many members who have talked about Achalasia and the treatments that they have tried. I'd like to introduce you to some of these Members. I hope they will post and let you know about their experiences, @evgenimat @fourof5zs. Here also is information about Dr. Stephen Cassivi at Mayo, who does surgery for disorders like yours. You might find this information helpful, https://connect.mayoclinic.org/newsfeed-post/meet-dr-stephen-cassivi/.

Have you considered a second opinion regarding this problem?


Yes, that is why I am reaching out to the Mayo Clinic even though I am in TN.

@leeross123 , Sorry I am so long getting to this post. I have never had a Heller myotomy. I had a Nissen Fundoplication wrap in 2001 done by a local surgeon. The wrap partial failured soon after. Before the surgery I had GERDs, had an ulcer (caused by Helicobacter pylori) and trouble swallowing. Here is short version of my story which is too long for here: http://zarogasnook.blogspot.com/2015/08/a-long-time-passing.html .. no advertisements on my blog. I was referred to Mayo Clinic in 2013, by a different local surgeon who told me no one here was capable of doing the surgery I needed.. None of my swallowing test.. or motility test have been good.. results worse each time it seems. I have a spasm when I swallow at the back of my throat and then the food or liquid just drops down to right above my stomach (no squeezing happens to move it along) where another spasm happens. Food or liquid may enter my stomach or it may just back up into my esophagus. It may come all the way back up or just sit there. So far the dilations have helped with the swallowing. I eat small meals of soft, cooked vegetables and tender meats. I also have gastroparesis.. so far my stomach is just slow to empty. I eat lower fiber diet because of it. Usually a walk or stomach massage will get things moving. Sometimes if painful I use a moist heating pad. For the moment the Achalasia is dealt with by dilation.. which I had done July 2017. The one before that was in 2015. I also have Barrett's esophagus... so not sure what is down the road for me.