Short-term Results of Laparoscopic Toupet Partial Fundoplication for Reflux Esophagitis
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 hi...
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| Published in | Nippon Shokaki Geka Gakkai zasshi Vol. 32; no. 3; pp. 892 - 895 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japanese Society of Gastroenterological Surgery
1999
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0386-9768 1348-9372 |
| DOI | 10.5833/jjgs.32.892 |
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| Abstract | 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. |
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| AbstractList | 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. |
| Author | Kashiwagi, Hideyuki Omura, Nobuo Kin, Tetsuu Watanabe, Masamitsu Morinaga, Yasuyoshi Aoki, Teruaki |
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| References | 12) 星原芳雄: GERDの診断 (3) 内視鏡診断と分類. 臨消内科11: 1563-1568, 1996 13) Woodward ER, Thomas HF, McAlhany JC: Comparison of crural repair and Nissen fundoplication in the treatment of esophageal hiatus hernia with peptic esophagitis. Ann Surg 173: 782-792, 1971 7) Lundell L, Abrahamsson H, Ruth M et al: Longterm results of a prospective randomized comparison of total fundic wrap (Nissen-Rossetti) or semifundoplication (Toupet) for gastro-oesophageal reflux. Br J Surg 83: 830-835, 1996 5) O'Reilly M, Mullins SG, Saya WB et al: Laparoscopic posterior partial fundoplication: analysis of 100 consecutive cases. J Laparoendosc Surg 6: 141-150, 1996 15) DeMeester TR: The ‘DeMeester’ modificationtechnique and results. Dis Esophagus 9: 263-271, 1996 16) 小村伸朗, 柏木秀幸, 福地康紀ほか: 十二指腸潰瘍症例の胃内pH環境に及ぼす迷走神経切離術の影響. 日消外会誌27: 30-36, 1994 17) Patti MG, De Bellis M, De Pinto M et al: Partial fundoplication for gastroesophageal reflux. Surg Endosc 11: 445-448, 1997 1) Perdikis G, Hinder RA, Wetscher GJ: Laparoscopic Nissen fundoplication-technique and results. Dis Esophagus 9: 272-277, 1996 2) Peters JH, DeMeester TR: Indications, benefits and outcome of laparoscopic Nissen fundoplication. Dig Dis 14: 169-179, 1996 14) Donahue PE, Samelson S, Nyhus LM et al: The floppy Nissen fundoplication. Effective long-term costrol of pathologic reflux. Arch Surg 120: 663-668, 1985 9) Matthews HR: A proposed classification for hiatal hernia and gastroesophageal reflux. DisEsophagus 9: 1-3, 1996 11) Dent J, Tytgut GNJ: Proposed Los Angeles system for classification of reflux esophagitis. In a Meeting held in conjunction with the 10th World Congresses of Gastroenterology. Los Angeles, USA, 5, October, 1994 3) Collard JM, De Gheldere CA, De Kock M et al: Laparoscopic antireflux surgery. What is real progress? Ann Surg 220: 146-154, 1994 6) Coster DD, Bower WH, Wilson VT et al: Laparoscopic partial fundoplication vs laparoscopic Nissen-Rossetti fundoplication. Short-term results of 231 cases. Surg Endosc 11: 625-631, 1997 4) Toupet A: Technique d'oesophago-gastroplastie avec phreno-gastropexie appliquee dans la cure radicale des hernies hiatales et comme complement de l'operation de Heller dans les cardiospasmes. Mem Acad Chir Par 89: 394-399, 1963 10) Savary M, Miller G: The esophagus. Edited by Gassmann AG. Handbook and atlas of endoscopy. Solothurn, Switzerland, 1978, p135 8) Laws HL, Clements RH, Swillie CM: A randomized, prospective comparison of the Nissen fundoplication versus the Toupet fundoplication for gastroesophageal reflux disease. Ann Surg 225: 647-653, 1997 |
| References_xml | – reference: 4) Toupet A: Technique d'oesophago-gastroplastie avec phreno-gastropexie appliquee dans la cure radicale des hernies hiatales et comme complement de l'operation de Heller dans les cardiospasmes. Mem Acad Chir Par 89: 394-399, 1963 – reference: 11) Dent J, Tytgut GNJ: Proposed Los Angeles system for classification of reflux esophagitis. In a Meeting held in conjunction with the 10th World Congresses of Gastroenterology. Los Angeles, USA, 5, October, 1994 – reference: 5) O'Reilly M, Mullins SG, Saya WB et al: Laparoscopic posterior partial fundoplication: analysis of 100 consecutive cases. J Laparoendosc Surg 6: 141-150, 1996 – reference: 15) DeMeester TR: The ‘DeMeester’ modificationtechnique and results. Dis Esophagus 9: 263-271, 1996 – reference: 7) Lundell L, Abrahamsson H, Ruth M et al: Longterm results of a prospective randomized comparison of total fundic wrap (Nissen-Rossetti) or semifundoplication (Toupet) for gastro-oesophageal reflux. Br J Surg 83: 830-835, 1996 – reference: 1) Perdikis G, Hinder RA, Wetscher GJ: Laparoscopic Nissen fundoplication-technique and results. Dis Esophagus 9: 272-277, 1996 – reference: 3) Collard JM, De Gheldere CA, De Kock M et al: Laparoscopic antireflux surgery. What is real progress? Ann Surg 220: 146-154, 1994 – reference: 13) Woodward ER, Thomas HF, McAlhany JC: Comparison of crural repair and Nissen fundoplication in the treatment of esophageal hiatus hernia with peptic esophagitis. Ann Surg 173: 782-792, 1971 – reference: 6) Coster DD, Bower WH, Wilson VT et al: Laparoscopic partial fundoplication vs laparoscopic Nissen-Rossetti fundoplication. Short-term results of 231 cases. Surg Endosc 11: 625-631, 1997 – reference: 17) Patti MG, De Bellis M, De Pinto M et al: Partial fundoplication for gastroesophageal reflux. Surg Endosc 11: 445-448, 1997 – reference: 10) Savary M, Miller G: The esophagus. Edited by Gassmann AG. Handbook and atlas of endoscopy. Solothurn, Switzerland, 1978, p135 – reference: 14) Donahue PE, Samelson S, Nyhus LM et al: The floppy Nissen fundoplication. Effective long-term costrol of pathologic reflux. Arch Surg 120: 663-668, 1985 – reference: 2) Peters JH, DeMeester TR: Indications, benefits and outcome of laparoscopic Nissen fundoplication. Dig Dis 14: 169-179, 1996 – reference: 16) 小村伸朗, 柏木秀幸, 福地康紀ほか: 十二指腸潰瘍症例の胃内pH環境に及ぼす迷走神経切離術の影響. 日消外会誌27: 30-36, 1994 – reference: 8) Laws HL, Clements RH, Swillie CM: A randomized, prospective comparison of the Nissen fundoplication versus the Toupet fundoplication for gastroesophageal reflux disease. Ann Surg 225: 647-653, 1997 – reference: 12) 星原芳雄: GERDの診断 (3) 内視鏡診断と分類. 臨消内科11: 1563-1568, 1996 – reference: 9) Matthews HR: A proposed classification for hiatal hernia and gastroesophageal reflux. DisEsophagus 9: 1-3, 1996 |
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| Title | Short-term Results of Laparoscopic Toupet Partial Fundoplication for Reflux Esophagitis |
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