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Laparoscopic Toupet Fundoplication

  • David GotleyEmail author
Chapter

Abstract

The Toupet fundoplication today is a posterior fundoplication of less than 360°, most often 270°. The procedure usually includes closure of the hiatus and fixation of the wrap to the hiatal pillars. It was originally proposed as a way of reducing the incidence of post-operative dysphagia, when compared to a 360° fundoplication. Randomised controlled trials indicate that it achieves this aim, together with a reduced risk of gas-bloat side effects, while controlling gastro-esophageal reflux symptoms equally as well as the Nissen fundoplication. However, over the long term of greater than 5 years, both the Nissen and Toupet fundoplications have similar rates of side effects and equivalent control of reflux. These results are only achieved by meticulous surgical principles and technique, the importance of which outweighs the choice of fundoplication.

Keywords

Fundoplication Laparoscopic Toupet Gastroesophageal Esophageal Reflux Antireflux surgery 

Notes

Acknowledgements

Dr Douglas McEwan, MB. BS. FANZCA. For his input on anaesthesia tips for laparoscopic fundoplication. Colleagues Dr Mark Smithers, Dr Andrew Barbour, Dr Iain Thompson.

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Princess Alexandra and Mater Private Hospitals, University of QueenslandBrisbaneAustralia
  2. 2.Department of SurgeryPrincess Alexandra Hospital, University of QueenslandBrisbaneAustralia

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