I have an extremely old patient with a slipped Nissen done about 10
years ago for severe reflux. She has severe erosive esophagitis with
Barrett's on usual high doses of H2 blockers. She got a rash from
She has severe kyphosis and is quite frail. I really don't want to
operate on her and she doesn't want surgery either. Is there any safe
way to non-surgically disrupt the Nissen wrap? I think it would be
better to not have the Nissen at all instead of this slipped Nissen.
Would an achalasia balloon dilator work or would this be too dangerous
to even try?