What is the difference between Nissen and Toupet fundoplication?
Laparoscopic Nissen fundoplication (LNF) is the most common surgical procedure for the surgical management of gastro-esophageal reflux disease (GERD). Laparoscopic Toupet fundoplication (LTF) has been reported to have a lower prevalence of postoperative complications yet still obtain a similar level of reflux control.
Does Nissen fundoplication last forever?
For a majority of patients, laparoscopic Nissen fundoplication is reported to have resulted in lasting relief. The procedure improves quality of life and is superior to being on lifelong medication. A small percentage of people may have persisting symptoms.
Which is best fundoplication?
Partial or Full Fundoplication Fundoplication has been the gold standard in surgical reflux treatment for decades, meaning it is well known and is generally a good surgical option with excellent relief for patients suffering with severe GERD symptoms.
Is Toupet fundoplication effective?
The Toupet fundoplication or 270-degree wrap is equally effective in controlling GERD but tends to fall apart with time due to lack of strong serosal adhesions between the two edges of the wrapped gastric fundus.
How long does toupet fundoplication last?
Results: The 5-year follow-up rate was 87%. Laparoscopic Toupet fundoplication achieved a 5-year healing rate of GERD in 85%. Of all operated patients, 3.5% had to be reinstalled on a regular PPI treatment because of postoperative GERD reappearance.
What is toupet fundoplication surgery?
Laparoscopic Toupet fundoplication is a surgical procedure performed for the treatment of GERD. The procedure strengthens the valve between the esophagus and the stomach, preventing the backflow of acid.
How much weight do people lose after Nissen fundoplication?
Neumayer et al published a study in 2005 in Surgical Endoscopy showing significant weight loss after Nissen fundoplication. He showed persistent weight loss of around 9 pounds at one year after Nissen procedure in a group of patients with an average starting BMI of 27.6.