Heartburn is more likely to recur after Toupet fundoplication than Nissen fundoplication

Timothy M. Farrell, Stephen B. Archer, Kathy D. Galloway, Gene D. Branum, C. Daniel Smith, John Hunter

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

Toupet (270°) fundoplication is commonly recommended for patients with gastroesophageal reflux (GER) and esophageal dysmotility. However, Toupet fundoplication may be less effective at protecting against reflux than Nissen (360°) fundoplication. We therefore compared the effectiveness and durability of both types of fundoplication as a function of preoperative esophageal motility. From January 1992 through January 1998, 669 patients with GER underwent laparoscopic fundoplication (78 Toupet, 591 Nissen). Patients scored heartburn, regurgitation, and dysphagia preoperatively, and at 6 weeks and 1 year postoperatively, using a 0 ('none') to 3 ('severe') scale. We compared symptom scores (Wilcoxon rank sum test) and redo fundoplication rates (Fisher exact test) in Toupet and Nissen patients. We also performed subgroup analyses on 81 patients with impaired esophageal motility (mean peristaltic amplitude,

Original languageEnglish (US)
Pages (from-to)229-237
Number of pages9
JournalAmerican Surgeon
Volume66
Issue number3
StatePublished - Mar 2000
Externally publishedYes

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Heartburn
Fundoplication
Nonparametric Statistics
Gastroesophageal Reflux
Esophageal Motility Disorders
Deglutition Disorders

ASJC Scopus subject areas

  • Surgery

Cite this

Farrell, T. M., Archer, S. B., Galloway, K. D., Branum, G. D., Smith, C. D., & Hunter, J. (2000). Heartburn is more likely to recur after Toupet fundoplication than Nissen fundoplication. American Surgeon, 66(3), 229-237.

Heartburn is more likely to recur after Toupet fundoplication than Nissen fundoplication. / Farrell, Timothy M.; Archer, Stephen B.; Galloway, Kathy D.; Branum, Gene D.; Smith, C. Daniel; Hunter, John.

In: American Surgeon, Vol. 66, No. 3, 03.2000, p. 229-237.

Research output: Contribution to journalArticle

Farrell, TM, Archer, SB, Galloway, KD, Branum, GD, Smith, CD & Hunter, J 2000, 'Heartburn is more likely to recur after Toupet fundoplication than Nissen fundoplication', American Surgeon, vol. 66, no. 3, pp. 229-237.
Farrell TM, Archer SB, Galloway KD, Branum GD, Smith CD, Hunter J. Heartburn is more likely to recur after Toupet fundoplication than Nissen fundoplication. American Surgeon. 2000 Mar;66(3):229-237.
Farrell, Timothy M. ; Archer, Stephen B. ; Galloway, Kathy D. ; Branum, Gene D. ; Smith, C. Daniel ; Hunter, John. / Heartburn is more likely to recur after Toupet fundoplication than Nissen fundoplication. In: American Surgeon. 2000 ; Vol. 66, No. 3. pp. 229-237.
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