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. 2022 Jul;46(7):1535-1541.
doi: 10.1007/s00268-022-06471-7. Epub 2022 Feb 26.

Laparoscopic Heller Myotomy and Toupet Fundoplication

Yewande R Alimi  1 , Micaela M Esquivel  2 , Mary T Hawn  3
Affiliations

Laparoscopic Heller Myotomy and Toupet Fundoplication

Yewande R Alimi et al. World J Surg. 2022 Jul.

Abstract

Esophageal achalasia is a primary motility disorder of unknown origin. The goal of treatment is to eliminate the resistance caused by a non-relaxing lower esophageal sphincter, therefore allowing passage of food and liquid from the esophagus into the stomach. A myotomy with a partial fundoplication (anterior Dor or posterior Toupet) is considered the standard of care for patients with achalasia. In the following review, we describe the indications and technique for a posterior partial fundoplication (Toupet).

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