Partial or Complete Fundoplication for Gastroesophageal Reflux Disease

  • Christopher M. Simons
  • David Duppler
  • Michael Cook
  • William Richardson

Laparoscopic fundoplication was initially patterned after the highly successful open Nissen fundoplication, which produces a complete 360-degree wrap. As experience with the operation progressed, several alternative partial fundoplications were devised. These included the Toupet (a posterior fundoplication very similar to the Nissen but only encompassing 270 degrees) and the Dor (an anterior fundoplication used primarily during surgery for achalasia) procedures. This chapter explores the issue of complete versus partial fundoplication in an otherwise uncomplicated case of gastroesophageal reflux disease (GERD).


Esophageal Motility Laparoscopic Fundoplication Postoperative Dysphagia Esophageal Peristalsis Toupet Fundoplication 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Christopher M. Simons
    • 1
  • David Duppler
    • 2
  • Michael Cook
    • 3
  • William Richardson
    • 4
  1. 1.Department of UrologyUniversity of IowaIowa CityUSA
  2. 2.Appleton Medical CenterAppletonUSA
  3. 3.Beth Israel Medical CenterBrooklynUSA
  4. 4.Ochsner ClinicNew Orleans

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