Surgery Treatment For GERD - Other Variations For Laparoscopic Fundoplication
There are now a number of variants of fundoplication procedures. Many surgeons report that such limited fundoplications result in earlier feeding and discharge from the hospital and a lower incidence of complications (trouble swallowing, gas bloating, gagging) than the full Nissan fundoplication. A British study, however, reported no significant differences in swallowing problems. Examples of variants include the following :
- Toupet fundoplication employs only a partial wrap, as does a Thal fundoplication.
Partial fundoplication procedures may be more effective in patients with poor or no esophageal motility (spontaneous muscle contraction). Those with normal motility, who may do better with the full-circle wrap. - Others use a very short and "floppy" Nissen full wrap.