title: Short esophagus.
abstract: In the presence of long-standing and severe gastroesophageal reflux disease, patients can develop various complications, including a shortened esophagus. Standard preoperative testing in these patients should include endoscopy, esophagography, and manometry, whereas the objective diagnosis of a short esophagus must be made intraoperatively following adequate mediastinal mobilization. If left untreated, it is a contributing factor to the high recurrence rate following fundoplications or repair of large hiatal hernias. A laparoscopic Collis gastroplasty combined with an antireflux procedure offers safe and effective therapy.
authors.affiliation: Division of General and Vascular Surgery, Advocate Medical Group, 745 Fletcher Dr, Suite 302, Elgin, IL 60123, USA.
authors.forename: Nicholas R
authors.initials: NR
authors.lastname: Kunio
authors.affiliation: Division of Gastrointestinal and General Surgery, Digestive Health Center, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, L223A, Portland, OR 97239, USA.
authors.forename: James P
authors.initials: JP
authors.lastname: Dolan
authors.affiliation: Division of Gastrointestinal and General Surgery, Digestive Health Center, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, L223A, Portland, OR 97239, USA. Electronic address: hunterj@ohsu.edu.
authors.forename: John G
authors.initials: JG
authors.lastname: Hunter
mesh_terms: D002908:Chronic Disease; D004935:Esophageal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D004945:Esophagoscopy / Q000379:methods; D004947:Esophagus / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D018662:Fundoplication / Q000379:methods; D005764:Gastroesophageal Reflux / Q000150:complications*; D015391:Gastroplasty / Q000379:methods*; D006551:Hernia, Hiatal / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008365:Manometry; D016343:Monitoring, Intraoperative; D057234:Preoperative Period; D011859:Radiography
keywords: Esophagus; Gastroesophageal reflux disease; Hiatal hernia; Short esophagus