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Related Experiment Videos

Partial versus complete fundoplication: is there a correct answer?

Patricia A Limpert1, Keith S Naunheim

  • 1Division of Cardiothoracic Surgery, Department of Surgery, St. Louis University Health Sciences Center, 3635 Vista Avenue, St. Louis, MO 63110-0250, USA.

The Surgical Clinics of North America
|June 2, 2005
PubMed
Summary
This summary is machine-generated.

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Gastroesophageal reflux disease (GERD) surgery offers an alternative to lifelong medication. Both Nissen and Toupet fundoplications are effective, but the floppy Nissen suits most patients, while partial fundoplication is best for severe motility disorders.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Reflux Management

Background:

  • Gastroesophageal reflux disease (GERD) necessitates lifelong management, often with proton-pump inhibitors.
  • Surgical antireflux procedures present an alternative to long-term medical treatment.
  • Nissen fundoplication is a common global procedure, but modifications address its side effects.

Purpose of the Study:

  • To compare the efficacy and drawbacks of Nissen and Toupet fundoplications for GERD.
  • To identify the optimal surgical approach based on patient motility disorders.
  • To evaluate the suitability of modified Nissen fundoplication for patients with dysmotility.

Main Methods:

  • Review of existing literature on Nissen and Toupet fundoplications.

Related Experiment Videos

  • Analysis of clinical outcomes, including reflux control and side effects like dysphagia.
  • Comparison of procedure effectiveness in patients with normal versus impaired esophageal motility.

    • Main Results:

    • Both Nissen and Toupet fundoplications provide relief for most GERD patients.
    • Nissen fundoplication may cause early dysphagia, while Toupet may have less durability.
    • The floppy Nissen, with specific surgical techniques, is effective for normal to moderate dysmotility.
    • Partial fundoplication is preferred for severe dysmotility disorders.

    Conclusions:

    • The floppy Nissen fundoplication is a safe and effective antireflux procedure for most GERD patients.
    • Patient-specific factors, particularly esophageal motility, guide the choice between Nissen and Toupet procedures.
    • Surgical management of GERD continues to evolve, balancing efficacy with patient quality of life.