Pyloroplasty

The GI Surgeon said he would only do a partial take-down of the Nissan Fundoplication Wrap with the Pyloroplasty at the same time.  My research shows that this is an elective procedure and should only be done for those with GERD or PUD – neither of which my husband has.  I wanted to ask the surgeon the questions below that the website said I should – but there was no way he would take that much of his precious time to answer them.  He was very aggressive and annoyed to even see us.  There is no way either that this Dr. will operate on my husband with this poor attitude.  So, in the meantime here I am trying to get my own answers – just as usual.

Knowledge Base for a Patient on Pyloroplasty

Important questions patient should ask a doctor:

Can the procedure damage the vagus nerve?
How often does that happen?
How will this surgery be practiced?
What is the knowledge about this process?
How frequently would doctor perform this process?
Why should the patient undergo the surgery?
What are the options basically opt not have access to the surgery?
How can one be prepared to feel after surgery?
What would be the risks involved with having one of these surgery?
How quickly is a patient going to recover?
When can one go back to school or work?
What is my likelihood of getting this problem again
What should one do to avoid getting this problem again?

And here is a video – 3D animation of Pylorplasty – not too gross:

I keep reading how this surgery is only done for those with GERD/PUD, or with a Vagotomy.  Or for kids who have Pyloric Stenosis.  My husband doesn’t have any of that stuff – and already had a Vagotomy.  How do they know his Pyloris needs this without any testing on it what-so-ever?!  Sure, they ordered a Gastric Emptying Study but the surgeon scolded “unless it comes back 100% normal then I won’t do just the partial take-down without the Vagotomy.

If you Google “pyloroplasty ruined my life”  there are lots of forums on it.  Some said their nausea and pain are now worst.  It would appear to me that this surgery should be last resort and only if the Dr. can prove that my husband has 100% genuine Gastroparesis and also can prove that he has Pyloric Stenosis or another good reason why this surgery is necessary.

Forum links on how Pyloroplasty Ruined People’s Lives:
http://www.inspire.com/groups/agmd-gi-motility/discussion/pyloroplasty-5/

http://parent-2-parent.com/forums/showthread.php?433-Pyloroplasty

http://www.wisegeek.com/what-is-pyloroplasty.htm  (Check out the diagram of the vagas nerve which is involved in a pyloroplasty – got my answer now).

More Links on Pyloroplasty

http://www.ncbi.nlm.nih.gov/pubmed/21720926

Minimally invasive pyloroplasty provides excellent outcomes for patients with gastroparesis and should be considered as a primary treatment along with diet and medications as it is effective and does not eliminate the option for additional surgical options in the future for refractory disease. With technological advancements, a totally endoscopic pyloroplasty may be a less invasive option.

If gastroparesis is related to an injury of the vagus nerve, patients may benefit from a procedure called pyloroplasty. This procedure widens and relaxes the valve separating the stomach from the upper part of the small intestine, called the pyloric valve. This permits the stomach to empty more quickly.

In some cases,before deciding to perform the procedure, botulinum toxin (Botox) will be injected at the pyloric valve to temporarily paralyze and relax it. The purpose is to determine if the patient would benefit from a pyloroplasty. While use of botulinum toxin has been associated with improvement in symptoms of gastroparesis in some patients, further research is required to validate its efficacy.

{This is a support site for GP.  Talk to you Dr. about treatment options.  This info. is just to help you explore your options.}