What is the toupet procedure?
Laparoscopic Toupet fundoplication is a surgical procedure performed for the treatment of GERD. The procedure strengthens the valve between the esophagus and the stomach, preventing the backflow of acid.
What is the difference between Nissen and Toupet fundoplication?
Laparoscopic Nissen fundoplication (LNF) is the most common surgical procedure for the surgical management of gastro-esophageal reflux disease (GERD). Laparoscopic Toupet fundoplication (LTF) has been reported to have a lower prevalence of postoperative complications yet still obtain a similar level of reflux control.
Is toupet fundoplication reversible?
The surgery can’t be reversed. And in some cases it may not be possible to relieve the symptoms of these complications, even with a second surgery.
How is fundoplication performed?
During fundoplication, the top part of your stomach — called the fundus — is folded and sewn around the lower esophageal sphincter, a muscular valve at the bottom of your esophagus. This reinforces the lower esophageal sphincter, making it less likely that acid will back up into the esophagus.
Can you vomit after having fundoplication?
I have found that most of my patients have excellent control of their GERD symptoms with a fundoplication wrap that still allows the majority of them to belch and vomit.
Is fundoplication surgery painful?
Pain. There is usually minimal pain associated with this operation. The abdomen will be sore as well as the small incision sites, and some patients have shoulder pain for the first day or two. The shoulder pain is caused by gas left in your abdomen during the operation.
What happens after Toupet fundoplication?
Your Recovery You may be sore and have some pain in your belly for several weeks after surgery. If you had laparoscopic surgery, you also may have pain near your shoulder for a day or two after surgery. It may be hard for you to swallow for up to 6 weeks after the surgery.
Can you burp after a toupet fundoplication?
Conclusion: After fundoplication, patients do not belch as a result of gastro-oesophageal gas reflux; rather it may be due to oesophagopharyngeal reflux of swallowed air. Subjective reporting of belching ability is inaccurate and manometric measurement of common cavities provides a better means of assessment.
Can you vomit after toupet fundoplication?
Many surgeons will tell their patients that after a fundoplication surgery for GERD or hiatal hernia repair that they will never be able to vomit or belch again.