A Continuous 10-Year Assessment of the Results of Surgery for Shortened Esophagus
The problem of shortened esophagus complicating gastroesophageal reflux and hiatal herniation was first tackled by Collis  by creating a vertical gastroplasty. The purpose of the gastroplasty was to create an acute angle of entry of the esophagus into the stomach. In doing so, he also achieved a lengthening of the esophagus. Pearson, in dealing with peptic stricture complicating gastroesophageal reflux associated with shortening, combined the procedures of a Collis gastroplasty with a Belsey type partial fundoplication . The short- and long-term results of such a procedure however, revealed that the anti-reflux maneuver was not successfully accomplished by a partial fundoplication. As a result, Henderson modified the procedure by incorporating a total fundoplication of the Nissen type to the Collis gastroplasty .
KeywordsPartial Fundoplication Postoperative Dysphagia Shorten Esophagus Vertical Gastroplasty Peptic Stricture
Unable to display preview. Download preview PDF.
- 2.Pearson FG, Tánger B, Henderson RD (1971) Gastroplasty and Belsey—Hiatal Hernia repair. J Thor Cardiovasc Surg 61: 50–63Google Scholar
- 4.Orringer MB (1985) The combined Collis gastroplasty—Nissen fundoplication for gastroesophageal reflux. In: De Meester TR, Skinner DB (eds) Esophageal disorders. Raven, New York, pp. 203–208Google Scholar
- 5.Henderson RD (1986) Surgical management of the failed gastroplasty. J Thorac Cardiovasc Surg 91: 45–52Google Scholar
- 7.Choiniere L, Payne HR, Jeyasingham K (1986) Pre- and postoperative prolonged pH and manometric studies in patients undergoing V-Y gastroplasty with partial fundoplication. In: Siewert JT, Holscher AH (eds) Diseases of the esophagus. Springer, Berlin Heidelberg New York, pp 1193–1197Google Scholar
- 8.Demeester TR (1985) Limitations of twenty-four hour pH monitoring of the esophagus. In: Demeester TR, Skinner DB (eds) Esophageal disorders. Raven, New York, pp 109–117Google Scholar
- 12.Pearson FG (1985) Collis-Belsey procedure for peptic strictures five to fifteen years follow-up. In: Demeester TR, Skinner DB (eds) Esophageal disorders. Raven, New York, pp 257–259Google Scholar