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Short esophagus: literature incidence
F A M Herbella1, J C Del Grande, R Colleoni
1Surgical Gastroenterology Department, Federal University of São Paulo, São Paulo, Brazil. herbella.dcir@epm.br
Summary
Short esophagus incidence in operated gastroesophageal reflux disease patients is 1.53%. Risk factors like paraesophageal hernia and reoperation correlate with higher short esophagus rates, but not Barrett
Area of Science:
- Gastroenterology and Surgical Research
- Esophageal Pathologies
Background:
- Controversies exist regarding the existence and incidence of short esophagus.
- Short esophagus is a condition that can complicate gastroesophageal reflux disease (GERD) surgery.
Purpose of the Study:
- To determine the incidence of short esophagus in patients operated for GERD.
- To evaluate potential risk factors associated with short esophagus.
Main Methods:
- Literature review of operated GERD patients over the last 3 years.
- Analysis of incidence rates and risk factors.
Main Results:
- The overall incidence of short esophagus was found to be 1.53%.
- Paraesophageal hernia, reoperation, esophageal strictures, and access route were associated with a higher incidence.
- Barrett's esophagus was not found to be a significant risk factor in this review.
Conclusions:
- Short esophagus occurs in 1.53% of patients operated for GERD.
- Specific surgical complications and patient factors are linked to increased short esophagus incidence.
- Further research may be needed to clarify the role of Barrett's esophagus.