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What are the different types of fundoplication surgery?

Lyall A. Gorenstein, MD
Thoracic Surgery (Cardiothoracic Vascular)
The two types of fundoplication most commonly performed on the espohagus are the Nissen and the Toupet. Nissen fundoplication involves wrapping the fundus completely around the esophagus (360°), producing a short, loose wrap. In Toupet fundoplication, the fundus is wrapped only part of the way around the esophagus (270°), producing a short, even looser wrap. The type of operation is chosen based on the severity of reflux and complications involved, as well as the function of the esophagus. While the Toupet results in less difficulty with gas bloat syndrome and swallowing, the Nissen procedure is the most effective for controlling reflux.

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