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Esophageal Dilation

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Started by Mazatl, Jan 12, 2006 12:14 AM
28 replies to this topic
28 replies to this topic

    Mazatl

    Registered User

  • Posts: 2
  • Joined: Sep 2005
  • Surgery: LAP-BAND
Posted January 12, 2006 - 12:14 AM

#1
Can anyone tell me exactly what is esophageal dilation and what the complications are from it? My doctor said that I was starting to dilate when he filled me up with the help of a floroscope.


    juju

    Registered User

  • Posts: 32
  • Joined: May 2005
  • Surgery: LAP-BAND
Posted January 12, 2006 - 4:46 AM

#2
my understanding is that when you eat too much, the esophagus starts to fill up and dilate. Is that correct banders??


    SouthTX LapBand

    Banded ~ Texas Rio Grande

  • Posts: 107
  • Joined: Oct 2005
  • Surgery: LAP-BAND
Posted January 12, 2006 - 5:15 AM

#3
It means you have been over-eating, with the excess food (the "overflow" from the pouch) builds up and stays some time in the lower esophagus - which then relaxes and stretches to accommodate this extra food. When it happens on a consistent, often repeated basis, the dilatation would become constantly present. As far as I know, it is reversible. I have heard of it being treated by an unfill and restriction of intake to liquids and mushies for a period of time.

You should call your doctor's office and say that you want to know WHY your dilatation happened and what you can do to get rid of it.. Since I'm not a doctor and only know what I have learned online -- which is not much. :)

Theresa


    Alexra

    Registered User

  • Posts: 229
  • Joined: Apr 2005
  • Location: NJ
  • Surgery: LAP-BAND
Posted January 12, 2006 - 5:17 AM

#4
Your esophagus takes on the role of a stomach, holding food and not acting like a muscle pushing it through. If this continues and it gets worse you could end up with what is called a dead esophagus. The only way to make that better is remove the band and in some cased replace your esophagus with a portion of your colon. Major surgery.


Posted February 27, 2006 - 8:58 PM

#5
Are there symptoms of this?


Posted February 28, 2006 - 12:28 AM

#6
Could you have this without being banded? I'm not banded and feel like there is food in it when I overeat.


Posted December 3, 2006 - 12:36 AM

#7
Would like more info if there is any.


    Kelliebelly

    The big belly is shrinkin

  • Posts: 752
  • Joined: May 2005
  • Location: AUSTRALIA
  • Surgery: LAP-BAND
  • Surgery Date: Apr 2005
  • Starting Weight: 265 lbs
  • Weight Lost: 129 lbs
  • Current Weight: 136 lbs
  • Goal Weight: 120 lbs
  • BMI: 21.9
Posted December 3, 2006 - 7:04 AM

#8
Not exactly what youre looking for, but came across it in some of my research.

What is a slipped Band, and what causes it?
There are two types of slippage; anterior and posterior. This refers to whether the front or back side of the stomach slips. There is something else called concentric pouch dilation, but this is not the same as slippage. Slippage or prolapse is when the stomach slides up through the Band, making the pouch bigger. If this happens the Band usually becomes too tight, and patients experience symptoms of reflux (heartburn) as well as nausea and vomiting. This is because the amount of stomach being “squeezed” by the Band is increased, thereby obstructing the Band.
There are several causes. Posterior slippage was more common when the Band was placed by the “perigastric” technique. With this technique the back side of the stomach was free to slide up through the Band. These days most surgeons use the “pars flaccida” technique, which was developed to prevent posterior slippage, and has more or less eliminated the incidence of this problem.
Anterior slippage is when the front of the stomach slips up through the Band. We try to prevent this by suturing the stomach below the Band to the stomach above the Band, “locking” the Band in place in the right spot. In spite of this, slippage still occurs. It can happen because we haven't placed enough stitches, or they haven't been placed in the right place. Slippage can also occur if patients eat too much and vomit frequently.
How is a slipped Band diagnosed?
Fortunately, this is very easy. Often the diagnosis is made based on the history alone. A patient who has been going along fine, with no problems, and then suddenly develops reflux symptoms or symptoms of a too-tight Band will most likely have a slipped Band. The diagnosis is easily confirmed with an x-ray and barium swallow examination. Endoscopy is rarely necessary.
How is a slipped Band fixed?
A slipped Band needs to be fixed with an operation. The Band has to be dissected out, all the sutures removed, and the position of the stomach made right. Some surgeons remove the Band and place it back through a new tunnel. Others just straighten things out and re-suture the stomach over the Band.
What happens if the Band slips again?
That's a tough one. One could certainly try to fix the slip again, but my personal view is that, for whatever reason, the Band is just not working for that particular patient, and ought to be removed.
What is a Band erosion?
This is when the Band actually erodes into the stomach. It is a more serious problem, and generally requires removal of the Band. Band erosion is thought to be related to placing too many sutures (or too tight sutures) at the time of Band implantation. Surprisingly, Band erosion is often unnoticed. Occasionally the port will become infected if bacteria track along the catheter out to the port. Other times patients will stop losing weight. Diagnosis often requires an endoscopy.
What is concentric pouch dilation?
This is technically not the same as slippage. In this case the pouch just seems to be enlarged. Sometimes partial emptying of the Band may help with this.
What is esophageal dilation?
This is when the esophagus enlarges over time, and is probably related to either too tight a Band, or possibly improper placement of the Band around the junction of the esophagus and stomach. This requires loosening or removal of the Band.
What happens if my Band has to be removed because of complications or failure to lose weight?
One option, of course, is to give up on weight loss surgery. Another option is to convert to another procedure such as Roux-en-Y gastric bypass. This can be done at the same time the Band is removed, and is generally done laparoscopically.


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