Dr. Pho,
Thank-you for this forum and for allowing me to ask these questions...I'am a little more than 3 months post esophageal surgery (collis/nisen). I recently had a follow-up EGD for my local GI to eval. the surgery..I originally was scheduled to have post-op ph studies, however, because of situations, my local GI decided to not do ph studies but rather the EGD..I received a copy of my EGD report and Im confused in some areas..It states....Pt. has significant gastritis. Biopsies were taken for CLO test. Recent surgery could be seen. it seems to be a reasonable surgery. the pt. has a relatively longer tunnel in the distal esophagus, however, there is now endoscopic esophagitis at all patches of that, it was seen; again, biopsies were taken.
Rocommendations: If HP is positive, it is going to be treated. As soon as pt has symptoms,PPI should be restarted. Diet restrictions should still be continued and she is going to have repeat EGD in 6 months for evaluation of her Barrett's esophagus and lgd.
My Questions: 1. What is he saying in reference to this esophagitis in the new area? Im interpreting it to mean that the portion of stomach used had gastritis which is now esophagitis? If that is so, what is the implications of that, for my Barrett's esophagus? 2.He also verbally told my husband that he thought disc. of PPI would be a short duration. One of the reasons I choose this surgery was to disc. PPI. I dont understand this reasoning? 3. He has started me back on GERD diet which I was told, by my surgery, to not follow post-op, but to begin adding back all the foods I had given up..Why would he want me back on that diet? 4. In light of this and this report, was my surgery a failure?
I have the stomach path report back and HP was negative..Esophageal path report is not avail yet...Im also taking what I think is a brutal regime of anti-inflammatories (Prednisone 4x daily and weekly MTX) as soon as my Dr. gets ins. clearance I will also start ebrel(sp) injections...I never have HP but this gastritis never goes away..Any light you can shed will be appreciated...