In laparoscopic antireflux surgery, the Toupet fundoplication is a partial posterior wrap (270°). Compared to the 360° Nissen fundoplication, the Toupet has the advantage of:
- A Superior long-term symptom control for GERD
- B Lower rates of dysphagia and gas bloat syndrome while maintaining comparable reflux control ✓
- C Easier technical performance with a higher learning curve
- D Preferred use in patients with normal oesophageal motility
Correct answer: B. Lower rates of dysphagia and gas bloat syndrome while maintaining comparable reflux control
Explanation
The Toupet 270° posterior partial fundoplication causes significantly fewer post-operative side-effects compared to the full Nissen 360° wrap — specifically lower rates of dysphagia (difficulty swallowing) and gas bloat syndrome (inability to belch/vomit due to tight wrap). GERD control is comparable in most RCT data. Toupet is particularly preferred in patients with impaired oesophageal motility (low amplitude peristalsis) where a complete wrap could cause severe functional dysphagia.
Reference: Bailey & Love's Short Practice of Surgery, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.