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Dor or Toupet?

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Found this, which particularly interested me because of Dr.

assertion that he didn't wish to choose until he was inside, seeing whatever he

was seeing.

" 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=ADGEESg\

scqYC5vVocKrloHq1FxfFGr1BkvqYtoNYfx77PBoQByi2s8f7hESZHAJfcAjcEhFkz6JMUyxIA3bBd8_\

B8JaS_Ml14ufBMCrGgaYnahKd0jWkP81kCDDI1zIYcXms0pHa_iIR & sig=AHIEtbTFcw90SDV4ndN0wv\

mpA49mbckskA

I'd commented earlier that my esophagus *didn't* look all that dilated to me

(granted, I'm absolutely no expert) on the barium swallow. So I'm going to

wager that he decides on a Toupet. Not, mind you, that it'll break mah heart if

he goes for a Dor. At any rate it was nice to discover the *reasoning* behind

the decision. At least for me, lol!

xox

(Does it seem like this group has more s per square inch than any place

you've ever been?)

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