Toupet fundoplication
Pronunciation: too-PAY
A partial posterior fundoplication technique often performed concurrently with sleeve gastrectomy to prevent gastroesophageal reflux.
Full Definition
Toupet fundoplication is a 270-degree posterior fundoplication where the gastric fundus is wrapped around the posterior and lateral aspects of the distal esophagus. In bariatric surgery, this technique is frequently combined with sleeve gastrectomy to address or prevent postoperative gastroesophageal reflux disease. The procedure involves mobilization of the short gastric vessels, crural repair if indicated, and creation of a loose posterior wrap using interrupted non-absorbable sutures. This approach maintains some degree of physiological gastric function while providing anti-reflux protection, making it particularly suitable for bariatric patients.
Usage
Usage note: Named after André Toupet; ensure proper capitalization and pronunciation guidance in educational materials.
In Context
- "A Toupet fundoplication was performed to address the patient's severe preoperative GERD during sleeve gastrectomy." — Operative report
- "The literature supports Toupet fundoplication as an effective anti-reflux procedure in combination with restrictive bariatric operations." — Clinical guideline