Slow motility of esophegas

Has anyone had a problem with slow motility of the esophegas and had a lap-band or gastric bypass done? Any problems?  Dr. Viglianco wants to do the lab-band in case of any problems ,it can be removed. He said I'm his first case with this and he is not sure if I'll have any problems. I have to go get tested again and he wants to talk to the digestive doctor himself to get some ideas. It's been 10 months now and I'm feeling like heres another roadblock.

Having issues that delay our wish fr WLS can be very frutratting. Not beign in control for me is one of the most challenging lessons I work on almost daily. Intellectualloy we know life throws roadblocks, emotionally it is not so easy to manage.

I know the concern of your surgeons is well intented, and I bet you do as well. At this moment you may not fully appreciate his cautiousness.

I can say that after WLS I have read about motility issues, with BOTH RNY and LAP-Band. Tavia who posted a while ago could probably share some issues on Roux statis syndrome. (lack of motility in Roux linb after RNY).

What sometimes helps me in roadblocks is asking myself what is my goal? Is it health, overall how & when I get there may not be as important as I truly think....

I wish you well. I see you as BLESSED to have such a caring surgeon, even if it may not seem that way right now........Many folks wait years to have their surgey, I am not sure how they manage it, many say despite the wait they are grateful for that time that they did wait as they were in the right place when it did happen, even whne they thought a year or two before they were in the right place. I would of thought (I am not a surgeon) that the Lapband would potentially worsen esophageal motility issues as it can cause this (I have seen this in literature! It can cause esophageal dysmotility and dilation due to increased outflow resistance due to the band)

PS could try and get some researchon this (you or surgeons office)
articles of interest

Esophageal Motility and Reflux Symptoms Before and After Bariatric Surgery
Authors: Korenkov, Michael; Köhler, Lothar; Yücel, Nedim; Grass, Guido; Troidl, Stefan; Lempa, Maria; Troidl, Hans
Source: Obesity Surgery, Volume 12, Number 1, February 2002 , pp. 72-76(5)
Publisher: Springer

Gastro-esophageal Reflux and Esophageal Motility Disorders in Morbidly Obese Patients
Authors: Suter, M; Dorta, G; Giusti, V; Calmes, J
Source: Obesity Surgery, Volume 14, Number 7, August 2004 , pp. 959-966(8)
Publisher: Springer

High Prevalence of Asymptomatic Esophageal Motility Disorders among Morbidly Obese Patients
Authors: Jaffin, Barry1; Knoepflmacher, Paul2; Greenstein, Robert3
Source: Obesity Surgery, Volume 9, Number 4, August 1999 , pp. 390-395(6)
Publisher: Springer

Manometric Abnormalities and Gastroesophageal Reflux Disease in the Morbidly Obese
Authors: Hong, Dennis; Khajanchee, Yashodhan; Pereira, Natasha; Lockhart, Barbara; Patterson, Emma; Swanstrom, Lee
Source: Obesity Surgery, Volume 14, Number 6, June 2004 , pp. 744-749(6)
Publisher: Springer


Re-operations Following Laparoscopic Adjustable Gastric Banding
Authors: Peterli, Ralph; Donadini, Andrea; Peters, Thomas; Ackermann, Christoph; Tondelli, Peter
Source: Obesity Surgery, Volume 12, Number 6, December 2002 , pp. 851-856(6)
Publisher: Springer

Results: Of 250 patients, 39 had to be re-operated because of band-associated complications: 27 laparoscopic re-gastric bandings after 12 (3-26) months because of slippage; 6 laparoscopic removals of the band (band intolerance- 4, pain- 1, pouch dilatation- 1); 12 biliopancreatic diversions with duodenal switch (BPD-DS) after 29 (18-43) months due to pouch and/or esophageal motility disorders (9) or insufficient weight loss (3), in 6 patients after having already performed a re-banding for slippage. 9 revisions of the access-port were done after 6 (2-53) months (disconnection- 3, dislocation- 6).


Email me if I can helo with obtaining the articles!