Laparoscopic Toupet versus Nissen fundoplication for the treatment of gastroesophageal reflux disease: Randomized prospective study | ||
| The Egyptian Journal of Surgery | ||
| Volume 43, Issue 3, July 2024, Pages 1019-1028 PDF (885.44 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EJSUR.2024.274542.1012 | ||
| Authors | ||
| Mohamed El Sorogy1; Mahmoud Haggag* 2; Ahmed Elghawalby1; Emad Hamdy1; Rami Said1 | ||
| 1Department of General Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt | ||
| 2Department of General Surgery, Faculty of Medicine, Arish University, Arish, Egypt | ||
| Abstract | ||
| Objective: To compare laparoscopic Nissen fundoplication and laparoscopic Toupet fundoplication in terms of postoperative acid reflux control and postoperative complications, especially dysphagia and gas bloat on a short-term basis. Patients and Methods: This prospective randomized study included 50 patients with gastroesophageal reflux disease who presented at Gastrointestinal Surgical Center, Mansoura University, for antireflux surgery from August 2021 to August 2022. Results: The incidence of dysphagia was higher in the Nissen group than in Toupet in early postoperative follow-up (3 months) compared with the Toupet group (P=0.008), but the incidence of dysphagia decreased among the Nissen group during follow-up periods while no incidence of dysphagia in Toupet group (P=0.077). Regarding heartburn score, there was no statistically significance between the two groups Toupet and Nissen (P=0.200) at early follow-up periods. However after 18-month postoperative, Nissen group showed better control of heartburn symptoms when compared to the Toupet group (P=0.045). In the current study, according to quality of life after 1 year and patient satisfaction, there was no significant difference between the two procedures (P=0.059). Conclusion: Nissen fundoplication shows a high incidence of dysphagia and gas bloat symptoms during early postoperative periods when compared with Toupet fundoplication, but this incidence decreases along follow-up periods. On the other hand, Nissen fundoplication shows better acid reflux control all over the follow-up periods. | ||
| Keywords | ||
| Gastroesophageal reflux disease; gastroesophageal reflux disease quality of life; laparoscopic Nissen fundoplication; laparoscopic Toupet fundoplication | ||
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