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[Collis's operation for brachyesophagus. (49 patients)]
J Testart1, A Kartheuser, C Peillon
1Clinique Chirurgicale, Centre Hospitalier Régional et Universitaire, Hôpital Charles-Nicolle, Rouen.
Gastroenterologie Clinique Et Biologique
|January 1, 1991
Summary
Collis' gastroplasty effectively treats gastroesophageal reflux in Barrett's esophagus patients, showing sustained satisfactory outcomes in most cases long-term. This surgical approach for short esophagus demonstrates good results and warrants further comparison with duodenal diversion.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Gastrointestinal Surgery
Context:
- Gastroesophageal reflux disease (GERD) is often associated with acquired short esophagus, commonly due to Barrett's esophagus.
- Surgical interventions are considered for refractory GERD and its complications.
- Collis' gastroplasty is a surgical technique used to lengthen the esophagus in cases of acquired short esophagus.
Purpose:
- To prospectively evaluate the clinical and pH-measured outcomes of infradiaphragmatic Collis' gastroplasty for GERD in patients with acquired short esophagus (Barrett's esophagus).
Summary:
- This study followed 49 patients (50 operations) undergoing infradiaphragmatic Collis' gastroplasty, assessing clinical, endoscopic, and pH measurements long-term.
- Short-term results were satisfactory in 30/45 patients, while long-term outcomes were satisfactory in 24/32 patients, with sustained good results in most.
- Postoperative morbidity was 16% and mortality was 6%. Long-term pH measurements showed variability, potentially due to acid secretion above the esogastric junction.
Impact:
- Collis' gastroplasty demonstrates good long-term efficacy in managing GERD associated with Barrett's esophagus.
- The findings suggest that Collis' gastroplasty is a viable surgical option for this patient population.
- Further comparative studies with other procedures like duodenal diversion are recommended.