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MarieDay
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Quote MarieDay Replybullet Topic: fundoplication...again
    Posted: 26 Feb 2019 at 11:29am
I'm thinking of undergoing fundoplication, but I have a couple questions that I hope Chris can answer:

1. Will having the surgery it make it more or less difficult to see and biopsy my Barrett's.
2. Are there any data that say the effects of fundoplication on progressing or not progressing to esophageal cancer?

It's possible my relatively large hernia can't be surgically corrected, but when I meet with the surgeon, I would like to know as much as possible. Thank you.
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chrisrob
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Quote chrisrob Replybullet Posted: 26 Feb 2019 at 6:38pm
Hi Marie,

Assuming your hernia is a normal sliding type, the surgeon ought to be able to correct it and relocate the stomach back in the abdomen. It just may take a little time if the hernia is large but you'll be unconscious to it all.

Endoscopists have had no problems viewing my Barrett's nor harvesting biopsies over the 10 years since my fundolication. Shouldn't be a problem.

Regarding "Risk of Esophageal Adenocarcinoma After Antireflux Surgery in Patients With Gastroesophageal Reflux Disease" this study published in November found, "Both antireflux surgery and medication may be associated with decreased risk of esophageal adenocarcinoma in patients with GERD, decreasing to a similar level as that in the background population over time." - which is good news.
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MarieDay
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Quote MarieDay Replybullet Posted: 26 Feb 2019 at 9:03pm
Great news! Thank you.
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