How many of you have had the "buigee" during your wrap?

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Regular Member

Date Joined Mar 2008
Total Posts : 149
   Posted 3/4/2010 3:23 PM (GMT -6)   
Just curious. I watched the nissen fundoplication performed online in IRS entirety by 3 different surgeons and 2 out of 3 used a "buigee" ( Hope I'm spelling it correctly.) if no one knows what a bugiee is it us a device to mimic a piece of meat traveling through the esophagus. While the surgeon is fixing the hostel hernia and then wrapping the stomack around the esophagus he wants to make sure he doesn't wrap it to tight because the food won't pass through. For those of you who has the procedure do you know if your surgeon used this device on you? If so do you have an complications since your surgery?

Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 3/4/2010 5:45 PM (GMT -6)   
My doctor was experienced enough that he didn't need one. I had a 270 degree wrap back in December and I've had no swallowing trouble.


Forum Moderator

Date Joined Feb 2009
Total Posts : 7188
   Posted 3/4/2010 6:25 PM (GMT -6)   
Hi again Tracks,
My surgeon was very experienced as well, but did use a bugie to space the wrap.
I have had very good results as far as not having undue gas and bloating, which can be a problem with tighter wraps.
My swallowing has also been good throughout my recovery.
Good luck in making your decision!

Veteran Member

Date Joined Dec 2008
Total Posts : 4961
   Posted 3/4/2010 8:36 PM (GMT -6)   
My first one June '06 was done using a bougie and the redo in May '09 was done without. Seems to be a personal preference of the surgeon.
Take care,

Forum Moderator

Date Joined Feb 2009
Total Posts : 7188
   Posted 3/5/2010 2:29 PM (GMT -6)   
When I was researching my surgery, I read that some surgeons prefer not to use the bougie, because of the risk of puncturing the esophagus.  That risk is made more likely because the bougie is generally placed by the anesthesiologist, who may not have a lot of experience with it. 
It made me worry a bit, but I had the surgery/bougie and all, and didn't have any problems as a result.  The next issue is what size bougie to use.  The surgeon wants the wrap loose enough to allow food through easily, but tight enough to keep acid down.  It's a balancing act.
Hope everyone is well!

Regular Member

Date Joined Feb 2010
Total Posts : 74
   Posted 3/7/2010 12:34 AM (GMT -6)   
Tracks, In my previous 3 esophageal surgeries the procedure was not available. I will be having a 4th surgery in the next month or two. My surgeon uses this procedure on occasion but is unsure if he will be using it with me until he can examine (open surgery) the extent of damage to my esophagus. The surgeons may use it. Denise's insight about the balancing act is basically what my surgeon was identifying, as well. Good luck with your decision. I hope all goes well for you!
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