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From: LisaM
Date: 04/25/01
Time: 18:32:06
Dear PJ, I am in Atlanta, actually Marietta, GA. I have found a surgeon who is going to be doing my gallbladder surgery, who is also one of the best antireflux surgeons in this area. He does however, advocate the partial posterior fundoplication and he has his own fundo named after him and his partner - It is called the O'Reilly-Mullins procedure. He uses it for folks who have dysmotility affecting their esophagus and perhaps their stomach as well. I also have delayed gastric emptying as a problem. I really like this surgeon, and right now he is very hesitant to do a fundo on me. I had a normal ph/manom. Yet I know that was one of my best days, and I dont even have anymore good days like that. It was about 10 weeks ago that I did it. I am trying to do another, but not necessarily to qualify for the surgery. Just trying to see if I reflux acid or base refluxate. I do not suffer from heartburn with my reflux. Prevacid does not relieve my reflux very much. So I just don't exactly know what is going on with me. Anyway he is taking my gallbladder June 1 at Kennestone. He is an excellent surgeon. He likes the partial because there are a lot less complications afterward. You would need to discuss with him whether the partial was right for you or whether you need the Nissen. The surgeon's name is Michael O'Reilly. Their website is as follows: www.mini-surg.com Visit this website to read about him and his procedure. The one thing I think I know about him is that he is highly selective of antireflux patients and has a very low failure rate for that reason. I did pose the question to him as to whether delayed gastric emptying is a contraindication, he said if the problem is not a severe problem - it could maybe even help.
As far as a gi doc. I am in no position to advise on that topic right now as I am considering switching. I have had an unusual and unresponsive case, and I need to be in the hands of a gi who both has time and expertise.
Where are you in Atlanta?
unusual and difficult case to treat