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Laparoscopic Heller Myotomy and Toupet Fundoplication
Yewande R Alimi1, Micaela M Esquivel2, Mary T Hawn3
1Medstar Georgetown Univerisity Hospital, 800 Reservoir Road NW, Washington, DC, 20007, USA.
World Journal of Surgery
|February 27, 2022
Summary
Esophageal achalasia treatment aims to relieve lower esophageal sphincter pressure. A posterior partial fundoplication (Toupet) is a standard surgical option for this motility disorder.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Esophageal achalasia is a primary esophageal motility disorder of unknown etiology.
- The primary treatment goal is to reduce lower esophageal sphincter (LES) resistance for improved food and liquid passage.
- Myotomy combined with partial fundoplication (Dor or Toupet) is the established standard of care.
Purpose of the Study:
- To review the indications for posterior partial fundoplication (Toupet) in achalasia patients.
- To detail the surgical technique for performing a Toupet fundoplication.
Main Methods:
- Literature review focusing on surgical management of esophageal achalasia.
- Description of the surgical steps and indications for Toupet fundoplication.
Main Results:
- Posterior partial fundoplication (Toupet) is a viable and standard surgical approach.
- The procedure effectively addresses the LES non-relaxation characteristic of achalasia.
Conclusions:
- The Toupet procedure is a key surgical option for managing esophageal achalasia.
- Understanding its indications and technique is crucial for effective patient care.
