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Laparoscopic Collis-Nissen approach for shortened esophagus treatment in children

Carlos García-Hernández1,2, Lourdes Carvajal-Figueroa1,2, Christian Archivaldo-García1,2

  • 1Departamento de Cirugía Pediátrica, Hospital Infantil Privado. Ciudad de México, México.

Cirugia Y Cirujanos
|January 23, 2020
PubMed

Insights

The laparoscopic Collis-Nissen approach effectively treats short esophagus in children, leading to symptom remission. This surgical technique is safe and efficient for pediatric patients requiring esophageal lengthening.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Short esophagus necessitates esophageal lengthening techniques.
  • The Collis approach is a primary surgical option for this condition.

Purpose of the Study:

  • To evaluate the effectiveness of the laparoscopic Collis-Nissen approach in pediatric patients with short esophagus and reflux.
  • To assess surgical outcomes and long-term symptom control.

Main Methods:

  • Retrospective case series of children undergoing laparoscopic Collis esophagoplasty with fundoplication.
  • Data collected included age, symptoms, surgical history, nutrition, hospital stay, complications, and reflux control.

Main Results:

  • Eight children (4-15 years) were treated between 2005-2017, some with prior surgeries or stenosis.
  • Common symptoms included cough (8/8) and abdominal pain (5/8).
  • No complications were reported, with oral nutrition starting on day 5 and complete symptom remission within 6 years, up to a 10-year follow-up.

Conclusions:

  • Diagnosis of true short esophagus often relies on intraoperative findings, requiring surgeon awareness during antireflux procedures.
  • The laparoscopic Collis-Nissen approach demonstrates safety and efficacy in managing pediatric short esophagus.
  • This technique offers a reliable solution for symptom control in affected children.
Abstract

Keywords:
CollisEsofagoplastíaEsophagoplastyLaparoscopyLaparoscopía

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