Abstract
We performed laparoscopic Toupet partial fundoplication on nine patients with reflux esophagitis, and investigated their short-term results in terms of anti-reflux effects and symptoms. The mean follow-up period was six months (ranging from two months to eleven months). Each patient had a sliding hiatal hernia before operation, which did not recur. Esophagitis in all patients remained healed after operation. The preoperative mean duration of intraesophageal acid-exposure (the value of pH<4 holding time) was 27.1±25.0%(5.8%-84.1%), and decreased to 1.8± 2.7%(0%-7.9%) postoperatively. Preoperative complaints due to gastroesophageal reflux were almost completely diminished after surgery. Moreover, postoperative dysphagia and chest discomfort were improved within one month. In conclusion, short-term results of laparoscopic Toupet partial fundoplication for reflux esophagitis were excellent in terms of anti-reflux effects and symptoms improvement.
