Narrowing of the stomach (pyloric stenosis apparently) and stomach stretching
Anyone dealt with this? I have to admit it was easier to eat and digesting food did not hurt yesterday after the procedure. The bloating, gas, and crazy diarrhea have also lessened/subsided. That's some pretty quick results. I haven't been able to find a whole lot of information on stomach narrowing (which also seems to be called pyloric stenosis) in adults. Seems to be a common condition in infants but rare occurrence in adults. So I really have no information to go on as far as how effective this whole stomach stretching is. Not to mention how it will affect my DS. I am relieved to have some, well, relief from the pain but I didn't even get asked if I wanted my stomach stretched and have literally no information on what the pros and cons are. And he wants to do this several more times so I am concerned.
Any thoughts, information, or suggestions would be appreciated.
Fortunately, it can almost always be treated with dilations, though usually more than one is needed, as they already warned you.
A stricture won't show up on lab results. It's possible that it's near the pyloric valve and that this is causing the confusion, along with some good drugs that you got for the procedure. Hopefully your surgeon will clarify things for you. If still in doubt, keep on pushing and asking questions til he makes things clear. That's part of his job. And make sure you get your info directly from him, and not from the office staff. Again, his job.
In my case dilation wasn't possible. It was just too narrow, due to scar tissue constricting it, and I had to have a second surgery.
You should talk to your doctor more about your concerns and what the possible risks are, but it sounds like the right way to go to me.
This sounds like a stricture to me also. Most on here have heard my story, but here goes. I went 10 weeks right after surgery where food, vites and most fluids would not stay down. I ended up with malnutrition issues from this and on TPN for 11 days in the hospital. When an EGD was done, there was a stricture. My Dr stretched it and immediately I was able to eat and keep food and it has not stopped since, well I still have what I call "bad food days" where I don't want anything or it just doesn't sit well and may come back, but I think that is par for the course with the DS.
I hope your stretching procedure was enough and now you will be on your way.
on 4/12/11 9:30 am - Tuvalu
My BIL's pyloric valve is lined with scar tissue from ulcers. Every now and then, he irritates it and it bleeds and then--when it finally clots (because he's on blood thinners, too) the healing process makes the passageway even smaller and sometimes he has to go in and have it all stretched out.
If he does not have this done, the whole thing closes up and food sits in his stomach and rots...and goes nowhere until they pump it all out.THAT has to smell good.
Anyway, he has the dilation done a couple of times a year I guess and it helps.
It is really just about 5 minutes added onto a normal 2 or 3 minute upper endoscopy (or EGD). Sometimes it can take longer if it is narrowed down to nearly closed.
Basically a small tiny catheter is place through the scope and once the tip is place in the pyloris a small balloon is inflated and stretches the pyloris. The balloon stays inflated for only one minute at a time and can be reinflated a few times. They don't want to fully stretch it at time usually. Depending on why it's stenosed, they don't to cause any rips in the tissue. There are different size's of balloons that gradually get bigger and bigger and each balloon can be filled to 3 different sizes (we are talking measurements in cm's here, not big size difference).
There really isn't anyway to see these clearly without doing an upper GI scope (or Upper endoscopy or EGD -- all are the same thing).
If you have questions about this (or other GI procedures), just ask or pm me!
I'm glad they got you diagnosed!