期刊
SURGICAL CLINICS OF NORTH AMERICA
卷 95, 期 3, 页码 641-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.suc.2015.02.015
关键词
Esophagus; Short esophagus; Gastroesophageal reflux disease; Hiatal hernia
类别
In the presence of long-standing and severe gastroesophageal reflux disease, patients can develop various complications, including a shortened esophagus. Standard preoperative testing in these patients should include endoscopy, esophagography, and manometry, whereas the objective diagnosis of a short esophagus must be made intraoperatively following adequate mediastinal mobilization. If left untreated, it is a contributing factor to the high recurrence rate following fundoplications or repair of large hiatal hernias. A laparoscopic Collis gastroplasty combined with an antireflux procedure offers safe and effective therapy.
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