To explore the clinical efficacy of laparoscopic Toupet fundus folding in the treatment of esophageal hiatal hernia complicated with gastroesophageal reflux disease.

The clinical data of 80 patients with esophageal hiatal hernia complicated with gastroesophageal reflux disease treated in Second Hospital of Jilin University between January 2012 and June 2018 were analyzed. Different types of herniorrhaphy were performed according to the specific conditions of the patients. All patients underwent laparoscopic Toupet fundus folding. The results of operation and reflux condition were counted after operation, and the changes of esophageal pressure before and after operation were observed.

Compared with conditions before operation, the reflux time was significantly shortened, the times of reflux and the times of long reflux significantly reduced, and the percentage of acid reflux time significantly decreased 6 months after operation (P<0.05). Compared with conditions before operation, the scores of DeMeester and GERDQ decreased significantly 6 months after operation (P<0.05). Compared with conditions before operation, low esophageal sphincter (LES) pressure and residual pressure significantly increased and the relaxation rate significantly decreased 6 months after operation (P<0.05).

Laparoscopic Touset fundus folding in the treatment of esophageal hiatal hernia complicated with gastroesophageal reflux disease can effectively increase esophageal pressure and restrain the reflux symptoms of patients, which is worth popularized.