Monday, December 19, 2011




An antireflux procedure was performed to prevent postoperative reflux. A posterior (Toupet) hemifundoplication was used in patients with a modestly dilated esophagus. And anterior (Dor) fundoplication was used with the most dilated esophagi, because a posterior fundoplication appeared to cause a relative outlet obstruction by excessively angling the gastroesophageal junction anteriorly.


https://docs.google.com/viewer?a=v&q=cache:nLWnaPX_gogJ:www.ncbi.nlm.nih.gov/pmc/articles/PMC1190864/pdf/annsurg00028-0035.pdf+&hl=en&gl=us&pid=bl&srcid=ADGEESgscqYC5vVocKrloHq1FxfFGr1BkvqYtoNYfx77PBoQByi2s8f7hESZHAJfcAjcEhFkz6JMUyxIA3bBd8_B8JaS_Ml14ufBMCrGgaYnahKd0jWkP81kCDDI1zIYcXms0pHa_iIR&sig=AHIEtbTFcw90SDV4ndN0wvmpA49mbckskA

I'm betting on the Toupet. My esophagus was hardly dilated at all in barium swallow.

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