RT Book, Section
A1 Coosemans, W.
A1 Nafteux, Philippe
A1 Lerut, Toni
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105840204
T1 Other Reflux Procedures (Toupet, Dor, and Hill)
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105840204
RD 2024/04/25
AB The  ideal  therapy  for  gastroesophageal  reflux  disease  (GERD)  is  a  tailored  approach  with  a  short,  floppy  Nissen  total  fundoplication.  This  is  the  current  “gold  standard”  for  patients  with  GERD  and  normal  esophageal  motility.  However,  total  fundoplication  may  result  in  unacceptable  rates  of  postoperative  dysphagia  in  the  subset  of  patients  with  GERD  and  disorders  of  esophageal  motility,  a  spectrum  of  benign  disorders  associated  with  delayed  esophageal  clearance.  Most  surgeons  prefer  a  Toupet  270-degree  partial  posterior  fundoplication  for  patients  in  this  group.1  Some  surgeons  advocate  partial  fundoplication  for  all  patients  to  minimize  the  undesirable  side  effects  of  a  360-degree  wrap.2,3