Abstract
Background Gastro-esophageal reflux disease (GERD) is one of the most frequent diseases of the upper gastro-enteric tract and incidence increases during lifetime [1]. In elderly patients [2] with a good LES basal tone and good peristalsis, evaluated with esophageal manometry, and even with a long exposure time fraction and a correlation between episodes of reflux and symptoms (SAP Symptom Association Probability), evaluated with 24h pHmetry [3], severe and refractory symptoms or intolerance to a conservative treatment, had a good response after a laparoscopic 270° fundoplication (Toupet technique); Toupet’s technique seems to offer good results such as Nissen-Rossetti fundoplication in terms of symptom control in a short-term evaluation [4-7].
Highlights
Open AccessLaparoscopic Toupet fundoplication: a alternative chance in elderly patients with Gastro-esophageal reflux disease (GERD)
Gastro-esophageal reflux disease (GERD) is one of the most frequent diseases of the upper gastro-enteric tract and incidence increases during lifetime [1]
Materials and methods We drove a prospective study in a period from March 2012 to March 2013, in which 13 elderly patients were treated with VLP Toupet fundoplication
Summary
Laparoscopic Toupet fundoplication: a alternative chance in elderly patients with GERD. Antonio Ferronetti*, Alfonso Canfora, Antonio Giugliano, Antonio Savanelli, Francesco Guida, Melania Battaglini Ciciriello, Bruno Amato, Giovanni Aprea. From 26th National Congress of the Italian Society of Geriatric Surgery Naples, Italy. From 26th National Congress of the Italian Society of Geriatric Surgery Naples, Italy. 19-22 June 2013
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