Retrospective cohort analysis shows Toupet fundoplication offers fewer complications and faster recovery in GERD patients, suggesting it may be preferable for certain cases.
Key Points
To compare perioperative and functional outcomes of Toupet vs. Nissen fundoplication for hiatal hernia repair in GERD patients.
Retrospective cohort study of 103 GERD patients with hiatal hernia
Patients divided into Toupet (n=53) and Nissen (n=50) groups
Outcomes measured included various surgical and functional metrics, complications, and quality of life scores
Toupet group had shorter time to postoperative oral intake and hospital stays
Both groups improved GERD-Q and GERD-HRQL scores at 1 year post-op
Toupet group had lower complication rates and incidences of dysphagia compared to Nissen group