title: Laparoscopy with left chest collis gastroplasty: a simplified technique for shortened esophagus.
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.
authors.affiliation: Swedish Medical Center and Cancer Institute, Division of Thoracic and Foregut Surgery, Seattle, Washington.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Wilson
authors.affiliation: Swedish Medical Center and Cancer Institute, Division of Thoracic and Foregut Surgery, Seattle, Washington.
authors.forename: Daniel Davila
authors.initials: DD
authors.lastname: Bradley
authors.affiliation: Swedish Medical Center and Cancer Institute, Division of Thoracic and Foregut Surgery, Seattle, Washington.
authors.forename: Brian E
authors.initials: BE
authors.lastname: Louie
authors.affiliation: Swedish Medical Center and Cancer Institute, Division of Thoracic and Foregut Surgery, Seattle, Washington.
authors.forename: Ralph W
authors.initials: RW
authors.lastname: Aye
authors.affiliation: Swedish Medical Center and Cancer Institute, Division of Thoracic and Foregut Surgery, Seattle, Washington.
authors.forename: Eric
authors.initials: E
authors.lastname: Vallières
authors.affiliation: Swedish Medical Center and Cancer Institute, Division of Thoracic and Foregut Surgery, Seattle, Washington. Electronic address: alex.farivar@swedish.org.
authors.forename: Alexander S
authors.initials: AS
authors.lastname: Farivar
mesh_terms: D004935:Esophageal Diseases / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D010535:Laparoscopy