Results after minimally invasive Toupet fundoplication technique: a narrative review

: Posterior partial fundoplication (PPF) was developed as an alternative surgical strategy to Nissen fundoplication, in attempt reduce the rate of side-effects, mainly dysphagia and gas bloat syndrome. Allowing patients maintain belching ability, this operation could lead minor gas-related symptoms than total fundoplication. The procedure first described by Andrè Toupet 1963 consisted a posterior 180° wrap gastric fundus through midline incision. After report anti-reflux surgery performed with laparoscopic approach, several authors have translated PPF into minimally invasive approach. A review literature has been evaluate results PPF, focusing on gastro-esophageal reflux disease (GERD) recurrence. evidence suggests that is safe feasible procedure, provides similar control compared lower risk postoperative dysphagia. However, duration effect over time questioned, data long-term after are lacking. Further studies needed provide functional clinical order draw definitive conclusions. Therefore, controversy regarding optimal for management gastroesophageal continues.