Stapled-wedge Collis gastroplasty for the shortened esophagus

Maria L. Terry, Ashley Vernon, John G. Hunter

Research output: Contribution to journalArticle

61 Scopus citations

Abstract

Background Minimally invasive Collis gastroplasty is an established technique for managing the shortened esophagus. The purpose of this report is to describe our new technique, the wedge gastroplasty, and report the short-term outcomes. Methods All patients (n = 143) undergoing laparoscopic fundoplication from May 2000 to March 2001 were assessed intraoperatively for shortened esophagus. After mediastinal dissection, 15 patients with inadequate intraabdominal esophageal length underwent wedge gastroplasty. Preoperative symptoms, operative times, and short-term outcomes were evaluated. Results Mean operative time was 184 ± 36 minutes (range 138 to 258). There was 1 cervical esophageal tear from bougie passage and no other minor or major complications. At 6 weeks, there was more improvement in esophageal symptoms compared with extraesophageal symptoms. Conclusions Wedge gastroplasty is effective in decreasing symptoms in patients with shortened esophagus and takes less time to perform than other gastroplasty techniques. Further study is needed to assess long-term outcomes.

Original languageEnglish (US)
Pages (from-to)195-199
Number of pages5
JournalAmerican journal of surgery
Volume188
Issue number2
DOIs
StatePublished - Aug 1 2004

Keywords

  • Collis gastroplasty
  • Gastroesophageal reflux disease
  • Laparoscopy
  • Minimally invasive surgery
  • Nissen fundoplication
  • Paraesophageal hernia
  • Shortened esophagus

ASJC Scopus subject areas

  • Surgery

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