Partial Fundoplication vs Total Fundoplication: What’s the Difference?

If you experience chronic acid reflux or gastroesophageal reflux disorder (GERD), there are a few different treatment options available to alleviate symptoms of GERD. The only way to treat the root cause of this disease is with anti-reflux surgery. A common type of reflux surgery is called fundoplication. In this article, we will discuss what the surgery entails and the difference between a partial and a full fundoplication. 

What is a full fundoplication?

The Nissen fundoplication surgery is a form of laparoscopic surgery that involves your reflux surgeon making five small incisions, then folding the stomach around the lower esophagus. This procedure essentially recreates the barrier against stomach acid. This invasive method uses a 360° degree wrap around the lower esophageal sphincter(LES). The surgery typically requires around a 2-week recovery time. 

Benefits of Nissen Fundoplication

  • One of the most common and proven anti-reflux surgeries.

  • More than 90% of patients will be able to discontinue taking their acid reflux medications.

  • Targets and relieves symptoms beyond heartburn.

What is a partial fundoplication?

A partial fundoplication, also called TIF surgery, which stands for transoral incisionless fundoplication, is designed to surgically reconstruct the valve between the esophagus and the stomach that acts as a barrier for stomach acid. The main difference between Nissen and TIF is that the partial fundoplication (TIF) is performed without using external incisions. In addition, the stomach is used to create a smaller 270° to 300° degree plication. TIF procedure offers patients a less-invasive treatment option beyond traditional surgery. 

Benefits of TIF Surgery

  • Over 10 years of proven effectiveness and study.

  • The least invasive anti-reflux procedure

  • No incisions and no scarring 

  • Minimal side effects

  • Another more invasive surgical procedure can still be performed down the line, if necessary.

If you are suffering from chronic acid reflux or GERD, anti-reflux surgery is the only way to treat the root cause of GERD. Your reflux doctor will help you decide the best surgical procedure for your individual needs. If you are considering anti-reflux surgery in Tampa, the reflux specialists at Tampa Bay Reflux Center can help you create a tailored treatment plan for your individual reflux needs.