Guest guest Posted August 29, 2011 Report Share Posted August 29, 2011 Hi,  Regarding all the different kinds of wraps, well I believe years ago, before the lapro surgery, myotomy were done without a wrap. I think the wraps were developed to help with the heartburn issues?? The Nissen wrap is not usually done for achalasia because it is a " full " wrap and could defeat the purpose and make the LES to tight. Most surgeons do the Dor or Toupet wrap with the myotomy. Each surgeon has their way of doing it and they argue about which is the best one. I have read many of these studies, the Dor is the shortest wrap and used the most currently. If you look up the Nissen wrap fundo, it is used mostly for people with severe " gerd " and conditions along those lines.  Also each patient has different situations, hopefully the surgeon knows which wrap would work in each case for the best.  Julee So. Calif. From: grahamsev2 <grahamsev@...> achalasia Sent: Monday, August 29, 2011 4:45 PM Subject: Why a Nissen Fundop?  Hello all- I am wondering why some have Nissen and some have Dor and some just have a Myotomy? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2011 Report Share Posted August 29, 2011 That is what is interesting as I have read that Doctors do not do full wraps because it can actually cause dysphagia. I will talk with my doctor(Dr. Holzman) as I have surgery in about a week as to why that is what he will be doing for me. I also have Barretts Esophagus, so maybe that is why. I have had E Spasms for 3 years and real bad GERD. It does not comfort me much to hear that it is not the preferred wrap for Achalasia. But what do I do? > > Hi, >  > Regarding all the different kinds of wraps, well I believe years ago, before the lapro surgery, myotomy were done without a wrap. I think the wraps were developed to help with the heartburn issues?? The Nissen wrap is not usually done for achalasia because it is a " full " wrap and could defeat the purpose and make the LES to tight. Most surgeons do the Dor or Toupet wrap with the myotomy. Each surgeon has their way of doing it and they argue about which is the best one. I have read many of these studies, the Dor is the shortest wrap and used the most currently. If you look up the Nissen wrap fundo, it is used mostly for people with severe " gerd " and conditions along those lines. >  > Also each patient has different situations, hopefully the surgeon knows which wrap would work in each case for the best. >  > Julee So. Calif. > > From: grahamsev2 <grahamsev@...> > achalasia > Sent: Monday, August 29, 2011 4:45 PM > Subject: Why a Nissen Fundop? > > >  > Hello all- > > I am wondering why some have Nissen and some have Dor and some just have a Myotomy? > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2011 Report Share Posted August 30, 2011 That's interesting - I didn't realize there were multiple types of wraps. I got my Heller myotomy with Nissen wrap in 2005. Since then, I don't have any issues with severe dysphagia, but I have to drink a lot of water to move the bolus into my stomach, and I do have minor dysphagia that leads to aspiration while I'm asleep. It's been more pronounced since my pregnancy and I've been wondering if I'm having actual reflux and if my Nissen wrap has loosened. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2011 Report Share Posted August 30, 2011 grahamsev2 wrote: > I am wondering why some have Nissen >and some have Dor and some just have a Myotomy? Doctors disagree on which is best. Few believe that a full Nissen is best because it could cause to much restriction for patients with achalasia who don't have good peristalsis. Notice that I said " full Nissen. " Actually a Nissen is full but sometime " Nissen " is used as a synonym for fundoplication. Your Nissen may be a true full Nissen or a partial Nissen (partial fundoplication)such as Dor or toupet. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2011 Report Share Posted September 1, 2011 Amber wrote: > > ...I'm > still getting reflux and occasional aspiration, > which NEVER used to happen. ... Aspiration can go with reflux but with achalasia often aspiration is because of trapped substances in the esophagus that never made it to the stomach to be refluxed from it. I am not saying that is what it is but a barium swallow would probably help you understand what is happening. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2011 Report Share Posted September 1, 2011 Thanks Notan, I have wondered about that too. I asked my Dr. last time to set me up with a new GI, since I haven't seen one since I moved about 5 years ago, but I think he forgot. Do you have any knowledge about why the food isn't making it into my esophagus all of a sudden? Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.