Rigid Endoscopy

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I've posted here before recently about my symptoms and investigations. It all came about after a barium swallow showed a possible lump on upper right swallow. This turned out to be not a lump, but other symptoms have become prevelant:

- sore on right hand side below adams apple

- some blood drops in mucus on some mornings

- soreness varies, but generally present for about 6-8 months

- soreness can radiate to right ear

- can feel like acid reflux 'cold' pain like feeling in shoulder area also

- pre-existing condition which gives me fragile tissues and inability to swallow solids (Ehlers Danlos Syndrome, no peristalsis in oesophagus)

I was examined on three occassions by different ENT's using a nasal scope. Each examination was clear. One of those was done in the local hospital, and one in the National ENT Hospital UCLH London. The London person said they would expect to see something on the nasal scope, but did an MRi with contrast to make sure. This was clear and they discharged me.

The local hospital is still pushing for a rigid endoscopy. The risks associated with this procedure scare me, as my condition, I am told, makes me more susceptible to complications during a genreal aneasthetic and also preforation of the throat. I saw the local ENT who would be doing the procedure on a private appointment to try to underline the risks (no one seems familiar with my condition), but he said it should be done, even though he doesn't think its anything sinister based on my previous examinations.

I live my life clinging on to the little swallowing I have left (due to my pre-exisiting condition). I live on liquids, for the past 10 years, which we have to blend. I"ve been fending off a feeding tube for that time. I'm worried that this procedure could put that in danger. And yet my soreness continues (allbeit a little less than it was).

The ENT's surgeons secretary want me to call her to talk about dates for the procedure.

Im stuck between a rock and a hard place. HELP!

  • Hi and I feel for you with your decision.  I suspect a few of us have to make similar decisions.  Twice I have made the decision between having chemo & RT with no evidence of the cancer being still present.  In those cases I chose not to have the treatment as I valued a) my, then, quality of life and b) if I was going to use my one shot for CRT then I wanted a positive target to hit.

    That is not the same as your choice, but I suspect the thought process is similar.  You have to look at the evidence presented as to why you need the scoping and what the benefits may be vs a sensible approach to the downsides if it goes wrong.

    Alas, only you can make that choice.  I feel from what you have said you are almost there in that decision, but can't quite make it.

    Take some time, don't be rushed by the hospital.  Discuss with your family.

    I can't help you with your decision, but I am comfortable with the 2 choices I made, even though in the end a few years late the cancer re-emerged and I went through CRT.

    Peter
    See my profile for more details of my convoluted journey