Full vs. Partial wrap?

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Falker72
New Member


Date Joined Mar 2014
Total Posts : 4
   Posted 3/6/2014 11:39 AM (GMT -6)   
What's the difference between the two? What makes you a candidate for the partial? I'm having a full wrap soon and the recovery from a partial wrap sounds more prefferable.

TonyG
Regular Member


Date Joined Apr 2013
Total Posts : 254
   Posted 3/6/2014 4:22 PM (GMT -6)   
A partial wrap only "partially" encompasses your esophagus with the fundus of the stomach...either 180 or 270 degrees depending on your surgeons preference. Partial wraps are usually used when the patient has swallowing or motility issues combined with the GERD/LPR disorders as it provides for a looser yet still effective solution to the reflux problem. There are also surgeons that just prefer to use the partial wrap instead of the full Nissen procedure however the full Nissen wrap is the standard for treatment of chronic GERD/LPR.

In my research prior to having the Nissen last year, it wasn't apparent to me what the recovery differences were between the two. At the core, they are still major thoracic surgical procedures, both involve a careful diet during recovery, and the same surgical techniques/tools are used for both the full and partial wraps. The only difference is that a partial wrap doesn't encircle the esophagus completely. Otherwise, the testing, procedure and recovery are identical.

Be well and take care,
-TonyG-
-TonyG-
Nissen Fundoplication April 30, 2013
Pain-Free, Reflux-Free, Sleeping on my back!

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 3/7/2014 12:57 AM (GMT -6)   
Falker72

I agree with Tony. With the partial wrap there is more of a chance for there to be post surgical reflux. The partial was designed for people with a swallowing issue and couldn't have a full wrap.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

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

Falker72
New Member


Date Joined Mar 2014
Total Posts : 4
   Posted 3/7/2014 10:08 AM (GMT -6)   
Thanks for the information. My doctor already told me it was going to be fully wrapped when he explained the procedure. I was just curious because I've come across multiple posts about the partial wrap. Reading these posts eases some of the stress of the unknown.
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