Anyone Had a Partial 180 degree Fundoplication?

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Baza
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Date Joined Jan 2011
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   Posted 9/26/2013 7:21 AM (GMT -6)   
  Hi,im looking for some feedback on a 180 degree fundoplication.Has anyone out there had this done and how successful is it? Also what was the recovery like?
 Im heading for a Nissen redo in October,a 360 wrap taken down and redone  to a 180 wrap because my esophagus is not emptying properly. Im really worried that a 180 wrap will not be sufficient enough with reflux.
 Thankyou
             Barry

Gaviscon99
Regular Member


Date Joined Apr 2012
Total Posts : 53
   Posted 9/26/2013 11:59 AM (GMT -6)   
I had a 180 degree wrap as a redo. Unfortunately it did not control my reflux. Generally speaking though they are ment to work quite well, not as good as 360 or 270 though! I think it is procedure of choice however in people with oesophageal motility problems.

Baza
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Date Joined Jan 2011
Total Posts : 513
   Posted 9/26/2013 12:45 PM (GMT -6)   
Hi Gaviscon99, where are you at now,are you considering more surgery? Surgeon says hes had good results with the 180 wrap,about one in ten would still have reflux. Ive a floppy 360 nissen now and I swear ive reflux,surgeon says its esophageal reflux and non acidic.Hope hes right!
Barry

Baza
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   Posted 9/26/2013 12:56 PM (GMT -6)   
Hi,forgot to ask you if you know was your wrap anterior or posterior?

Gaviscon99
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Date Joined Apr 2012
Total Posts : 53
   Posted 9/26/2013 1:02 PM (GMT -6)   
Hi. Im in Manchester uk! Mine was 180 anterior wrap. Result are ment to be ok, 80-85% effective if done as primary wrap c.f 90-95% for 270. As a redo percentages are generally a bit lower.

Getting endoscope and bravo next week! Had ph studies last yr 6 weeks after wards and had demeester score of 43! Thinking I may need more surgery but tricky what type!

Baza
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Date Joined Jan 2011
Total Posts : 513
   Posted 9/26/2013 2:03 PM (GMT -6)   
ok thanks,im in Northern Ireland,im travelling to Newcastle for my redo.Surgeon going to do mine posterior,must have his own reasons I guess.Just hope it works,ive had enough of this!
Have you a motility problem,that you had a redo? Is your surgeon willing to do another redo,i know I had trouble finding my current surgeon,theyre reluctant to operate again.

Gaviscon99
Regular Member


Date Joined Apr 2012
Total Posts : 53
   Posted 9/27/2013 10:11 AM (GMT -6)   
No, my motility tests have always been normal (ive had it done 3 times). I had redo as first 270 degree wrap came undone after 1yr. current surgeon says will operate but only if no other choice. currently under a good gastroenterologist who is looking into all my options. Once I have had endoscope/bravo next week i will speak to a few surgeons to see what my options are. 3rd redo, stretta, roux en Y are all options, all with risks and Side effects and potential failures. rock and hard place.

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 9/27/2013 10:31 AM (GMT -6)   
I thought I was bad. Sorry to hear you've been through so much.I hope you can get something done.Barry

opnwhl4
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Date Joined Dec 2008
Total Posts : 4961
   Posted 9/27/2013 9:52 PM (GMT -6)   
Joy(couchtater) I believe had the 180 wrap and has been doing very well. I think Alcie had the same because of motility issues and is doing well with it also.

Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 9/29/2013 3:17 AM (GMT -6)   
Thanks Bill! Theres not too many that have this done, I think most surgeons do a "loose Floppy Nissen" nowadays to allow for any swallowing problems. Barry
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