Toupet fundoplication.

Toupet fundoplication is a surgical technique used to manage gastroesophageal reflux disease (GERD). GERD is a condition in which acid from the stomach flows back into the esophagus, causing irritation and discomfort.

The main indication for this type of partial fundoplication is oesophageal dysmotility which is evaluated by the oesophageal manometry. Toupet fundoplication will avoid to worsen or create dysphagia.

The procedure is usually performed laparoscopically, which means that small incisions are made in the abdomen and a camera is used to guide the surgeon. The surgery is done under general anesthesia. During the surgery, the upper part of the stomach is partially wrapped around the lower esophageal sphincter to prevent stomach acid from flowing back into the esophagus.

This partial posterior fundoplications provides satisfactory outcomes in terms of symptom control with a lower risk of postoperative dysphagia.

Patients may need to stay in the hospital for one day after surgery, and will need to follow dietary restrictions and carefully manage their recovery to minimize complications.

Toupet fundoplication can be an effective treatment option for people with GERD who have not responded to medication or lifestyle changes. As with any surgery, there are risks and potential complications, which should be discussed before making a decision.