Uncut Collis-Nissen gastroplasty.
Surgical treatment of gastroesophageal reflux because of an incompetent lower esophageal sphincter and obstructive symptoms owing to a partial or incomplete intrathoracic stomach has evolved tremendously over the past several decades. Currently, there are several different techniques to improve the abnormalities caused by these defects, of which the uncut Collis-Nissen gastroplasty is one. The operation has withstood the test of time and has low mortality, acceptable morbidity, and excellent short- and long-term results. More importantly, it is reproducible and is an operation that can be taught to others. The author believes the data continue to warrant the use of this procedure; however, it should be acknowledged that there is as yet no perfect procedure and continued modifications and analysis of long-term results are needed.
Trastek
V F
VF
Section of General Thoracic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
D005500:Follow-Up Studies; D018662:Fundoplication; D005764:Gastroesophageal Reflux / Q000601:surgery*; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications; D013536:Suture Techniques; D013997:Time Factors