Partial or Complete Fundoplication for Gastroesophageal Reflux Disease
Laparoscopic fundoplication was initially patterned after the highly successful open Nissen fundoplication, which produces a complete 360-degree wrap. As experience with the operation progressed, several alternative partial fundoplications were devised. These included the Toupet (a posterior fundoplication very similar to the Nissen but only encompassing 270 degrees) and the Dor (an anterior fundoplication used primarily during surgery for achalasia) procedures. This chapter explores the issue of complete versus partial fundoplication in an otherwise uncomplicated case of gastroesophageal reflux disease (GERD).
KeywordsEsophageal Motility Laparoscopic Fundoplication Postoperative Dysphagia Esophageal Peristalsis Toupet Fundoplication
Unable to display preview. Download preview PDF.
- Limpert PA, Naunheim KS. Partial versus complete fundoplication: Is there a correct answer. Surg Clin N Am 399-410.Google Scholar
- Patti MG, Robinson T, Galvani C, et al. Total fundoplication is superior to partial fundoplica-tion even when esophageal peristalsis is weak. J Am Coll Surg 2004;198;6.Google Scholar
- Toupet A. Technic of esophago-gastroplasty with phreno-gastropexy used in radical treat-ment of hiatal hernias as a supplement to Hellers operation in cardiospasms [in French]. Mem Acad Chir (Paris) 1963;89:384-389.Google Scholar