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Alimi YR, Esquivel MM, Hawn MT. Laparoscopic Heller Myotomy and Toupet Fundoplication. World Journal of Surgery. 2022 Jul 1; 46(7):1535-1541.
Esophageal achalasia is a primary motility disorder of unknown origin. The goal of treatment is to eliminate the resistance caused by a non-relaxing lower esophageal sphincter, therefore allowing passage of food and liquid from the esophagus into the stomach. A myotomy with a partial fundoplication (anterior Dor or posterior Toupet) is considered the standard of care for patients with achalasia. In the following review, we describe the indications and technique for a posterior partial fundoplication (Toupet).