Toupet's valvuloplasty for sliding hiatal hernia and incompetent inferior esophageal sphincter.

The experience obtained in 90 consecutive Toupet's valvuloplasties performed at the General Surgery Service of the "Calixto Garcia" University Hospital is presented. Indications for the operation were a sliding hiatal hernia in 87 patients and an incompetent inferior esophageal sphincter in 3 patients. The time elapsed after operation ranged from 1 to 9 years in 80 patients who could be followed up (88.9% of the casuistic).--There was no mortality directly related with the surgical procedure, 95% of the patients improved their symptoms and in 85% of them there were no symptoms dependent of the valvuloplasty performed.