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Stapled-wedge Collis gastroplasty for the shortened esophagus
Maria L Terry1, Ashley Vernon, John G Hunter
1Department of Surgery, University of New Mexico, 915 Camino de Salud NE, 2ACC, Albuquerque, NM, USA. MTerry@salud.umn.edu
American Journal of Surgery
|July 14, 2004
Summary
Wedge gastroplasty effectively manages shortened esophagus, showing symptom improvement with minimal complications. This minimally invasive technique offers a promising alternative for esophageal lengthening procedures.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Esophageal Surgery
Background:
- Shortened esophagus is a condition managed with minimally invasive Collis gastroplasty.
- A novel technique, wedge gastroplasty, is introduced for this condition.
Purpose of the Study:
- To describe the wedge gastroplasty technique.
- To report short-term outcomes of wedge gastroplasty for shortened esophagus.
Main Methods:
- 143 patients undergoing laparoscopic fundoplication were assessed for shortened esophagus.
- 15 patients with inadequate intraabdominal esophageal length underwent wedge gastroplasty.
- Preoperative symptoms, operative times, and short-term outcomes were evaluated.
Main Results:
- Mean operative time was 184 minutes.
- One cervical esophageal tear occurred; no other complications were reported.
- Significant improvement in esophageal symptoms was observed at 6 weeks post-procedure.
Conclusions:
- Wedge gastroplasty is effective for reducing symptoms in patients with shortened esophagus.
- The technique is associated with shorter operative times compared to other gastroplasty methods.
- Further research is required to evaluate long-term outcomes.