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bobdigi
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Quote bobdigi Replybullet Topic: Fundoplication
    Posted: 04áJulá2017 at 8:04pm
Hi. I had my third scope today and the results aren't what i was suspecting.
For the first time i have been diagnosed with a hiatus hurnia. And the 3 cm Barrets apparently looked normal. But no biopsies were taken!!!!!
I'm 38 and otherwise fit and healthy so it has been suggested i have a Nissen Fundoplication which i think i'm happy about. In fact i was going to request it as i don't like being on PPI's and if it works well i can come of the PPI's and be reflux free!!!
Obviously i'm anxious about it but i think i'm going to go for it.
Is it bad that he never took biopsies? And He suggested that after the surgery i wont need any more scopes and biopsies of the Barrets. Should i request another surgeon if that's possible? Because it Sounds bad to me!!
Thanks, Bob.
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jcombs99
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Quote jcombs99 Replybullet Posted: 04áJulá2017 at 8:45pm
Bob
No such thing as "NORMAL" Barretts it's called a pre cancer condition . U need a better GI start from zero spend some money ..

CHEERs
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bobdigi
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Quote bobdigi Replybullet Posted: 04áJulá2017 at 8:53pm
Well by normal he means no displasia. Thanks. With respect i never find your comments much help. I either can't fully understand them, or you just keep bashing the NHS! I'm sure you'd like everyone to go private but we have the NHS and i'm not in a financial position to go private even if i wanted too. And yes i know if you relied on the NHS you'd be dead. And yes i know you don't think the NHS is good and yes i know we should apparently go private. But anything i have done, will be done on the NHS.
So thanks for your comments, but feel free to not reply to any of my posts in future as they aren't much help. Thanks.



Edited by bobdigi - 04áJulá2017 at 9:03pm
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jcombs99
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Quote jcombs99 Replybullet Posted: 04áJulá2017 at 8:57pm
Good for you !! you keep posting and I won't reply .Lets hope it turns out as well for you as it did for me .Maybe save some funds you may need them in the future .

CHHERS

Edited by jcombs99 - 04áJulá2017 at 9:19pm
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steveb8189
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Quote steveb8189 Replybullet Posted: 04áJulá2017 at 9:30pm
Hi Bob

It is very strange he didn't take any biopsies as that is normal procedure. Was this endoscopy specifically a surveillance check for the Barrett's or to investigate the hernia? Checking the status of the Barrett's for dysplasia is the main reason for the surveillance! How do you know they took no biopsies? Any chance you were a bit groggy after the scope and didn't 100% follow what was said?

As for fundo - I'm 35 and in a similar position with HH but haven't yet convinced myself to go for it. I'm very active and get on well with the PPIs so don't see the benefit for now. Given the reward is so small they don't quite outweigh the (small) risks or side effects. Would love not to be taking the drugs though!

Fingers crossed you find my post more constructive!
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bobdigi
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Quote bobdigi Replybullet Posted: 04áJulá2017 at 9:43pm
Well to be fair the scope was to see why i have had an increase in reflux. I only had gas and air and asked why he didnt take any biopsies. He said he will probably take some when i have the operation. So maybe there was some method! Perhaps he thinks it's best to take them when the hernia is repaired.
I will be having a consultation before the operation date so I will clarify then.
I'm also active play badminton, ride regularly and do a little weight training. I'm worried about having the op and suffering from problems which don't allow me to carry on with my activities. But on the other hand I probably reflux around 40 times a day. Sometimes acid, sometimes not. And I hate being on PPI's, so I will probably go for it.
Have you had any problems on PPI''S at all?

Edited by bobdigi - 04áJulá2017 at 9:46pm
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steveb8189
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Quote steveb8189 Replybullet Posted: 04áJulá2017 at 9:45pm
Oh, I forgot a bit. If you have the fundo you will 100% still need to carry on with the surveillance... that last point does worry me a bit about your GI doctor. It may be worth asking a second opinion so get another referral from your GP.

I am lucky to have private health cover from work but I see exactly the same specialist as when I go on the NHS. Most doctors do both - you just have to wait longer for an NHS referral.
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steveb8189
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Quote steveb8189 Replybullet Posted: 04áJulá2017 at 9:47pm
As for refluxing 40 times per day I presume you mean so you can feel it in your theist? The topic is widely debated but most papers work to an estimate of 70 refluxes per day (into the eosophagus) being normal.

Have you had the 24hr pH monitoring?
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bobdigi
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Quote bobdigi Replybullet Posted: 04áJulá2017 at 9:50pm
I edited last post! I thought/knew it should be biopsied in future. It is a little worrying. So I should go back to my GP and ask for another scope, or to meet another gi doctor? Thanks, Bob.
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steveb8189
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Quote steveb8189 Replybullet Posted: 04áJulá2017 at 9:53pm
I would just ask to see a different one. Sounds like you need the biopsies done so may as well try someone new! Where are you based? Someone in here may be able to recommend someone
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