Nissen wrap to partial wrap?
I'm 25 and have been battling severe GERD the past ~10 years. 5 and a half years ago, I had a Nissen fundoplicaiton because my GERD wasn't controllable with medication and lifestyle changes. For a few years, it worked great and I didn't have any major problems. In 2011, I got a large paraesophageal hernia and had surgery to repair it, then in January 2012, I got another lare paraesophageal hernia and had a 3rd surgery (this one was more complex due to scar tissue + finding 2 additional holes in my diaphragm that had to be repaired). They kept my Nissen intact through both of the later hernia surgeries.
A few months ago, I began to experience what I thought was more reflux. My doctor upped all of my GERD meds, however, and it didn't make a difference. They did a barium swallow to look for another hernia and there wasn't one, but the pill got stuck in my esophagus as well as any of the liquid they had me try to swallow. We decided that what I initially thought was reflux is actually food and liquid getting "stuck" in my esophagus. They did an EGD to stretch my esophagus, but my symptoms haven't improved at all. Next up is a manometry because my surgeon said it is possible that my Nissen has caused weakening of my esophageal muscles that are now causing dysphagia. He said that if that is the case, they'll need to do surgery and will convert my Nissen wrap to a partial wrap. I've never heard of a partial wrap for GERD before. Does anyone have a partial wrap? Has anyone had a Nissen converted to a partial wrap? Any thoughts/suggestions/advice?