Objective: The aim of the study was to compare between anterior to posterior laparoscopic partial fundoplications. Patients and Methods: During a 2-year period, 50 patients with gastroesophageal reflux disease were enrolled in this study, comparing a partial posterior (Toupét, n = 26) fundoplication and an anterior partial wrap (Watson, n = 24). All patients were assessed postoperatively, and the 6-month follow- p. Results: Both patient groups were strictly comparable. All operations were completed laparoscopically, and no serious complications were encountered. Post fundoplication symptoms were recorded with no difference between the groups. Conclusions: When performing a laparoscopic partial fundoplication, the posterior modification (Toupét) offers advantages in terms of better reflux control compared with an anterior type (Watson). 

Keywords: Fundoplication; Posterior modification; Dysphagia; Gastroesophageal junction.