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 Scopus citations


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
Issue number3
Publication statusPublished - Mar 2000
Externally publishedYes


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.