You seem to be laboring under a number of serious misimpressions. Your
research has been incomplete, you have grossly misunderstood it, or your
doctor has done a poor job of explaining things to you.

Gavriliu's operation and the Heimlich operation are the same operation
(reversed gastric tube). They were both described in the '50's. Gavriliu did
it first, Hemilich did it several years later and took credit. It doesn't
matter, that operation is rarely done anymore and has no applicability to
your situation anyway.

Esophageal stenting is by no means "state of the art". They have been around
for decades, but are only used for frank cancers of the esophagus that can't
be cured. They are used for palliation only in patients who are terminal.
The only recent advance in stenting has been expanding mesh stents, which
are indeed an improvement over the old plastic Celestin tubes, but have
absolutely no place in someone who has erosive esophagitis only, or even
Barrett's esophagus. Palliation for terminal cancer. Only. If your doctor
were to suggest that you have an esophageal stent placed, he is saying to
you that you are going to die of your esophageal cancer within a matter of
months.

There is no such thing as "Barrett's Cancer". Barrett's esophagus is not
cancer. It is a *pre* cancerous condition that sets the stage for the
possibility of adenocarcinoma (not squamous cell cancer) of the esophagus.
The majority of people with Barrett's esophagus will *not* develop
adenocarcinoma of the esophagus, just as not every smoker will develop lung
cancer. Your situation, you say, is that you don't even have Barrett's
esophagus, so I suppose you could say you have a pre-pre-pre-cancerous
condition. (reflux->Barrett's->Barrett's with dysplasia->adenocarcinoma).

Cancer of the esophagus, adenocarcinoma or squamous cell carcinoma, tends to
be aggressive and 5 year survival is very low.

As I said several posts ago, there are no esophageal transplants in the
sense that you are referring to. *IF* you were to develop severe dysplasia
in Barrett's esophagus (*very* precancerous), or *IF* you were to develop
frank invasive cancer of the esophagus, your surgeon would recommend an
operation where the esophagus is removed and the stomach is mobilized up
into your chest and connected to the esophageal remnant in the neck or
proximal chest. Note that this is not a "reversed-gastric tube". Also note
that this is not a transplant, it's just a "rearrangement" of your own
tissue. There is no potential for rejection - it is your own body tissue, so
no immunosuppressive drugs are needed. There are no esophageal transplants.
They don't harvest some dead guy's esophagus to put into you. About the only
circumstance where they would use your colon instead of your stomach is if
you had had previous gastric surgery that precluded the used of your
stomach.

None of these things are experimental. They are all established therapies
that insurance companies pay for.

I don't know what "Stage II" erosive esophagitis is. Erosive esophagitis is
an *acute* condition that has to be addressed acutely and cured. It's
diagnosed only by EGD, is treated with high dose PPI medication (Nexium
etc), and a followup scope is indicated to be sure that the erosive
esophagitis is cured. If erosive esophagitis can't be controlled with
acid-suppressing medication, or if erosive esophagits keeps coming back,
then surgery is indicated to stop the reflux.

People who have GERD, especially with recurrent esophagitis, need ongoing
surveillance with EGD every 1-3 years to determine whether on not Barrett's
esophagus is developing or progressing.

You need to sit down with your doctor and clarify your situation and
options.

HMc