Laparoscopic Toupet Fundoplication for Gastroesophageal Reflux Disease with Poor Esophageal Body Motility

Richard J. Lund, Gerold J. Wetcher, Frank Raiser, Karl Glaser, Galen Perdikis, Michael Gadenstätter, Natsuya Katada, Charles Filipi, Ronald A. Hinder

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100 Scopus citations

Abstract

Impaired esophageal body motility is a complication of chronic gastroesophageal reflux disease (GERD). In patients with this disease, a 360-degree fundoplication may result in severe postoperative dysphagia. Forty-six patients with GERD who had a weak lower esophageal sphincter pressure and a positive acid reflux score associated with impaired esophageal body peristalsis in the distal esophagus (amplitude 10% simultaneous or interrupted waves) were selected to undergo laparoscopic Toupet fundoplication. They were compared with 16 similar patients with poor esophageal body function who underwent Nissen fundoplication. The patients who underwent Toupet fundoplication had less dysphagia than those who had the Nissen procedure (9% vs. 44%; P = 0.0041). Twenty-four-hour ambulatory pH monitoring and esophageal manometry were repeated in 31 Toupet patients 6 months after surgery. Percentage of time of esophageal exposure to pH

Original languageEnglish
Pages (from-to)301-308
Number of pages8
JournalJournal of Gastrointestinal Surgery
Volume1
Issue number4
StatePublished - Jul 1997

All Science Journal Classification (ASJC) codes

  • Surgery

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    Lund, R. J., Wetcher, G. J., Raiser, F., Glaser, K., Perdikis, G., Gadenstätter, M., Katada, N., Filipi, C., & Hinder, R. A. (1997). Laparoscopic Toupet Fundoplication for Gastroesophageal Reflux Disease with Poor Esophageal Body Motility. Journal of Gastrointestinal Surgery, 1(4), 301-308.