A retrospective study compared the Toupet fundoplication
with DF for the quality of life, and overall satisfaction was superior with DF (13).
There are many treatments to control reflux symptoms including proton-pump inhibitors (PPIs), transoral incisionless fundoplication (TIF), and Nissen and Toupet Fundoplication [5, 6].
Although medical therapy using proton-pump inhibitors (PPIs) can inhibit gastric acid secretion effectively [27,28], up to 40% of patients still need a surgical treatment for antireflux such as Nissen and Toupet Fundoplication .
There has been many studies regarding the use of Dor or Toupet fundoplication
and have reported equally good results.
We are currently running a prospective, randomized trial comparing Dor versus Toupet fundoplication and evaluating postoperative pH-metry and high-resolution manometry to further solve this question.
Oelschlager et al., "Laparoscopic Dor versus Toupet fundoplication following Heller myotomy for achalasia: results of a multicenter, prospective, randomized-controlled trial," Surgical Endoscopy, vol.
for gastroesophageal reflux in childhood.
Laparoscopic Heller myotomy with Toupet fundoplication
. Arch Surg 2005; 140: 827-834.
In general surgery, robotic systems have enhanced laparoscopic Heller myotomy, esophagectomy, pancreatectomy, pyloroplasty when performed at the time of antireflux surgery, and fashioning the posterior suture lines of Toupet fundoplication
The procedure is known as the Toupet Fundoplication
The fundus of the stomach can be wrapped around the distal esophagus either 360 degrees (i.e., Nissen fundoplication) or to lesser degrees (i.e., Thal or Toupet fundoplication