Short-term Results of Laparoscopic Toupet Partial Fundoplication for Reflux Esophagitis

• Published in: Nippon Shokaki Geka Gakkai zasshi Vol. 32; no. 3; pp. 892 - 895
• Main Authors: Watanabe, Masamitsu, Omura, Nobuo, Morinaga, Yasuyoshi, Kashiwagi, Hideyuki, Aoki, Teruaki, Kin, Tetsuu
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society of Gastroenterological Surgery 1999
• Subjects: laparoscopic surgery; reflux esophagitis; Toupet partial fundoplication
• ISSN: 0386-9768; 1348-9372
• DOI: 10.5833/jjgs.32.892

We performed laparoscopic Toupet partial fundoplication on nine patients with reflux esophagitis, and investigated their short-term results in terms of anti-reflux effects and symptoms. The mean follow-up period was six months (ranging from two months to eleven months). Each patient had a sliding hiatal hernia before operation, which did not recur. Esophagitis in all patients remained healed after operation. The preoperative mean duration of intraesophageal acid-exposure (the value of pH<4 holding time) was 27.1±25.0%(5.8%-84.1%), and decreased to 1.8± 2.7%(0%-7.9%) postoperatively. Preoperative complaints due to gastroesophageal reflux were almost completely diminished after surgery. Moreover, postoperative dysphagia and chest discomfort were improved within one month. In conclusion, short-term results of laparoscopic Toupet partial fundoplication for reflux esophagitis were excellent in terms of anti-reflux effects and symptoms improvement.