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Collis gastroplasty: origin and evolution.

R H Adler1

  • 1Department of Surgery, State University of New York, Buffalo.

The Annals of Thoracic Surgery
|November 1, 1990
PubMed
Summary
This summary is machine-generated.

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J. Leigh Collis developed an innovative operation in 1957 for irreducible hiatal hernia, esophagitis, and stricture. Its modifications, combined with fundoplication, are still debated for treating hiatal hernia and gastroesophageal reflux disease.

Area of Science:

  • Gastroenterology and Surgical Innovation

Background:

  • The Collis gastroplasty, introduced in 1957, addressed irreducible hiatal hernias, esophagitis, and strictures based on early understandings of these conditions.
  • The operation emerged alongside the nascent concept of reflux esophagitis, highlighting a growing awareness of esophageal acid-related issues.

Discussion:

  • Over time, the original Collis gastroplasty was enhanced with partial and complete fundoplication techniques.
  • These modifications aimed to improve antireflux efficacy, reflecting evolving surgical strategies.

Key Insights:

  • The development of the Collis procedure marked a significant early attempt to surgically manage complex hiatal hernia and associated reflux problems.
  • The subsequent integration of fundoplication represents a key evolutionary step in antireflux surgery.

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Outlook:

  • The precise role and long-term efficacy of modified Collis gastroplasty-fundoplication procedures in current management algorithms for hiatal hernia and gastroesophageal reflux disease remain subjects of ongoing clinical evaluation and debate.
  • Further research is needed to definitively establish the place of these modified operations within the contemporary surgical landscape.