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  • Title: Laparoscopy with left chest collis gastroplasty: a simplified technique for shortened esophagus.
    Author: Wilson JL, Bradley DD, Louie BE, Aye RW, Vallières E, Farivar AS.
    Journal: Ann Thorac Surg; 2014 Nov; 98(5):1860-2. PubMed ID: 25441813.
    Abstract:
    Axial shortening of the esophagus is caused by repetitive esophageal injury from gastroesophageal reflux disease resulting in esophagitis, submucosal fibrosis, and esophageal dysmotility. A short esophagus (<2 cm of intraabdominal length after type II mediastinal dissection) is encountered in 20% to 63% of patients undergoing paraesophageal hernia repair. An esophageal lengthening procedure can be a useful adjunct to fundoplication to reduce the 50% recurrence rate reported at 5 years. We describe a simplified Collis gastroplasty technique that negates the need for wedge fundectomy, potentially saving operating room time and cost, while hypothetically reducing morbidity.
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