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Posterior Partial Fundoplications: Indications and Technique

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Abstract

The partial posterior fundoplication (PPF) was first described by André Toupet in the early 1960s as an alternative to the perceived faults of the Nissen repair. Since then, PPF has become an increasingly popular technique performed by surgeons worldwide. PPF is indicated in patients with documented gastroesophageal reflux disease (GERD) or after reduction of a hiatal hernia, and is favored over complete fundoplication in patients who have undergone a myotomy for treatment of achalasia. Outcomes after PPF are excellent with the majority of patients reporting improved quality of life, decreased reflux related symptoms, and minimal, if any, dysphagia. The advent of laparoscopic PPF has afforded patients a safe procedure with a shorter hospital stay compared to the open counterpart. In this chapter we review the indications, outcomes, inpatient management, and surgical technique for laparoscopic and open PPF.

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Author information

Authors and Affiliations

  1. Department of General Surgery, Minimally Invasive Surgery, NorthShore Center for Simulation and Innovation, NorthShore University HealthSystem, 2650 Ridge Avenue, NCSI Suite B665, Evanston, IL, 60201, USA

    Michael Ujiki MD, FACS

  2. Department of Surgery, General Surgery Resident, University of Chicago Medical Center, 5841 S. Maryland Avenue, Chicago, IL, 60637, USA

    Benjamin D. Shogan MD

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  1. Michael Ujiki MD, FACS
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  2. Benjamin D. Shogan MD
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Correspondence to Michael Ujiki MD, FACS .

Editor information

Editors and Affiliations

  1. GI and MIS Surgery, The Oregon Clinic Providence Portland Medical Center, Portland, Oregon, USA

    Lee L. Swanstrom

  2. GI and MIS Surgery, The Oregon Clinic Providence Portland Medical Center, Portland, Oregon, USA

    Christy M. Dunst

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Ujiki, M., Shogan, B.D. (2015). Posterior Partial Fundoplications: Indications and Technique. In: Swanstrom, L., Dunst, C. (eds) Antireflux Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1749-5_10

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  • DOI: https://doi.org/10.1007/978-1-4939-1749-5_10

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1748-8

  • Online ISBN: 978-1-4939-1749-5

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