Evaluation of toupet antireflux operation, by means of gastroesophageal scintiscan.

Abstract

The Toupet operation (270 degrees posterior fundoplication) has been performed in 99 patients suffering from symptoms of gastro-oesophageal reflux secondary to a hiatal hernia. To assess the effects of the Toupet antireflux procedure, we performed in 20 cases oesophageal manometry, intraoperatively and gastro-oesophageal scintiscan in the early postoperative period (3 months: 98 cases) and also later (5 years). For us gastro-oesophageal scintiscan is the ideal method of detecting reflux because it is a noninvasive technique as sensitive as the intra-oesophageal pH, is easy to perform and well-tolerated by the patient. Our long-term follow-up, with only 6% of poor results show that the Toupet operation like the Nissen fundoplication is the most effective surgical technique that can be used to correct gastro-oesophageal reflux and has an added advantage: the side effects, particularly the postfundoplication or gas-bloat syndrome are minimal. Additional follow-up after 10 years will be needed to establish the final outcome of the operation.

• Authors: R Vara-Thorbeck, O I Morales, J A Guerrero, M Ruiz-Morales, M Salvi, C Vara
• Journal: Zentralblatt fur Chirurgie (Zentralbl Chir) Vol. 114 Issue 11 Pg. 722-9 ( 1989) ISSN: 0044-409X [Print] Germany
• PMID: 2669420 (Publication Type: Journal Article)

Topics

• Adult
• Diaphragm (surgery)
• Female
• Follow-Up Studies
• Gastric Fundus (surgery)
• Gastroesophageal Reflux (diagnostic imaging, surgery)
• Hernia, Diaphragmatic (surgery)
• Hernia, Hiatal (diagnostic imaging, surgery)
• Humans
• Male
• Middle Aged
• Postoperative Complications (diagnostic imaging)
• Radionuclide Imaging
• Suture Techniques