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

Nobuo Omura, Hideyuki Kashiwagi, Masamitsu Watanabe, Tetsuu Kin, Yasuyoshi Morinaga¹⁾ and Teruaki Aoki

Department of Surgery, the Jikei University School of Medicine, Morinaga Gastro-Intestinal Hospital¹⁾

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.

Key words
reflux esophagitis, Toupet partial fundoplication, laparoscopic surgery

Reprint requests
Nobuo Omura Department of Surgery (II), The Jikei University School of Medicine 3-25-8 Nishishinbashi, Minato-ku, Tokyo, 105-0003 JAPAN

Accepted
November 13, 1998

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