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.
El Sorogy, M., Haggag, M., Elghawalby, A., Hamdy, E., & Said, R. (2024). Laparoscopic Toupet versus Nissen fundoplication for the treatment of gastroesophageal reflux disease: Randomized prospective study. The Egyptian Journal of Surgery, 43(3), 1019-1028. doi: 10.21608/EJSUR.2024.274542.1012
MLA
Mohamed El Sorogy; Mahmoud Haggag; Ahmed Elghawalby; Emad Hamdy; Rami Said. "Laparoscopic Toupet versus Nissen fundoplication for the treatment of gastroesophageal reflux disease: Randomized prospective study", The Egyptian Journal of Surgery, 43, 3, 2024, 1019-1028. doi: 10.21608/EJSUR.2024.274542.1012
HARVARD
El Sorogy, M., Haggag, M., Elghawalby, A., Hamdy, E., Said, R. (2024). 'Laparoscopic Toupet versus Nissen fundoplication for the treatment of gastroesophageal reflux disease: Randomized prospective study', The Egyptian Journal of Surgery, 43(3), pp. 1019-1028. doi: 10.21608/EJSUR.2024.274542.1012
VANCOUVER
El Sorogy, M., Haggag, M., Elghawalby, A., Hamdy, E., Said, R. Laparoscopic Toupet versus Nissen fundoplication for the treatment of gastroesophageal reflux disease: Randomized prospective study. The Egyptian Journal of Surgery, 2024; 43(3): 1019-1028. doi: 10.21608/EJSUR.2024.274542.1012
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