In a 12 years period, from july 1984 to june 1996, 120 patients were submitted to antireflux surgery using the modified Toupet procedure. The medium age was 52.4 years and 72 (60%) patients has association with other diseases or were smokers or heavy drunkers. Eight patients have had previous surgery for gastric reflux, with recurrent symptoms. Opera tive accidental injuries were splenic lesions (six patients), esophagus lesion (one), pleura (one), liver(one) and portal vein(one). Mortality rate was 6.6% but no intraoperative death was observed. Early post-operative complications were significant for the following parameters: age, smocking, alchoolism, splenic lesion, and reoperation regarding complication and for morbility were age and reoperation. The multifactory analysis confirmed significance only to reoperation for complications and morbility.
Toupet procedure; Fundoplication; Complication; Antireflux operation; Gastroesophageal reflux