Long-term symptomatic outcomes after Collis gastroplasty with fundoplication

Area of Science:

• Gastroenterology
• Surgical Procedures
• Patient Outcomes

Background:

• Gastroesophageal reflux disease (GERD) complicated by short esophagus requires surgical intervention.
• Collis gastroplasty with fundoplication is a recognized treatment option.
• Long-term outcomes for both open and laparoscopic techniques are infrequently reported.

Purpose of the Study:

• To evaluate the long-term patient-reported outcomes of Collis gastroplasty with fundoplication.
• To compare patient satisfaction and symptom resolution between laparoscopic and open approaches.
• To assess the overall effectiveness of the procedure for GERD management.

Main Methods:

• Retrospective review of prospectively collected data from 85 patients undergoing Collis gastroplasty with fundoplication over 13 years.
• Patients were contacted for a long-term follow-up questionnaire (median >9 months) assessing symptoms and satisfaction.
• Data analyzed from the patient's perspective, comparing laparoscopic (48%) and open (52%) techniques.

Main Results:

• Complete resolution rates: heartburn (52%), chest pain (22%), regurgitation (54%), dysphagia (29%).
• Over 75% of patients expressed satisfaction with the surgical outcome.
• More than 85% of patients would recommend the procedure.

Conclusions:

• Collis gastroplasty with fundoplication provides effective long-term symptom control for GERD.
• The procedure achieves high levels of patient satisfaction, regardless of surgical approach.
• This surgical option is recommended for patients with GERD and short esophagus.