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[Laparoscopic Collis-Nissen operation for shortened esophagus]
E Kleimann1, K Krugel, S Langer
1Klinik für Allgemein-, Visceral- und Thoraxchirurgie, Evangelisches Krankenhaus Bethesda Mönchengladbach.
Zentralblatt Fur Chirurgie
|July 18, 2002
Summary
Laparoscopic Collis-Nissen gastroplasty offers an effective solution for esophageal shortening caused by gastroesophageal reflux disease (GERD). This minimally invasive approach provides relief from reflux symptoms, even in complex cases.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Esophageal shortening affects 2-4% of patients with advanced gastroesophageal reflux disease (GERD).
- The Collis gastroplasty with Nissen fundoplication is a surgical option for managing esophageal shortening.
Observation:
- Two patients with intraoperatively diagnosed esophageal shortening underwent a modified laparoscopic Collis-Nissen procedure.
- This technique involves creating an intraabdominal neoesophagus with a fundic wrap.
Findings:
- Both patients experienced an uncomplicated postoperative course.
- Follow-up assessments including endoscopy and barium meal showed relief from reflux symptoms.
- Mild dysphagia was noted in some patients, but no persistent esophagitis was observed.
Implications:
- Laparoscopic Collis-Nissen gastroplasty is an effective, minimally invasive treatment for shortened esophagus in GERD patients.
- This approach addresses a challenging intraoperative complication, improving patient outcomes.