Abstract
As discussed in the previous chapters (see esp. Chap. 10), this operation is indicated in patients with reflux esophagitis that has caused a significant degree of fibrosis, constriction, and shortening of the esophagus. In some patients without much esophageal shortening, advanced fibrosis itself will interfere with the antireflux efficiency of a fundoplication because the rigid esophageal walls will not be compressed by the fundoplication. For this reason, Pearson and Henderson; Urschel, Razzuk, Wood, Galbraith et al.; and Orringer and colleagues (see Chap. 10) believe that almost every esophageal stricture caused by reflux should be treated by a Collis gastroplasty and an antireflux procedure. A previous subtotal gastrectomy generally contraindicates a Collis gastroplasty. Most patients with recurrent reflux esophagitis after a previous operation will require a thoracoabdominal Collis-Nissen operation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Orringer MB, Orringer JS. The combined Collis-Nissen operation: early assessment of reflux control. Ann Thorac Surg 1982;33:534.
Orringer MB, Sloan H. Combined Collis-Nissen reconstruction of the esophagogastric junction. Ann Thorac Surg 1978;25:16.
Pearson FG, Henderson RD. Experimental and clinical studies of gastroplasty in the management of acquired short esophagus. Surg Gynecol Obstet 1973;136:737.
Stirling MC, Orringer MB. Continued assessment of the combined Collis-Nissen operation. Ann Thorac Surg 1989;47:224–230.
Urschel HC, Razzuk MA, Wood RE, Galbraith NF et al. An improved surgical technique for the complicated hiatal hernia with gastroesophageal reflux. Ann Thorac Surg 1973;15:443.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1994 Springer Science+Business Media New York
About this chapter
Cite this chapter
Chassin, J.L. (1994). Transthoracic Gastroplasty (Collis) and Nissen Fundoplication. In: Operative Strategy in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4169-8_13
Download citation
DOI: https://doi.org/10.1007/978-1-4757-4169-8_13
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4757-4171-1
Online ISBN: 978-1-4757-4169-8
eBook Packages: Springer Book Archive