Abstract
Laparoscopic antireflux surgery is the procedure of choice for gastroesophageal reflux disease (GERD). However, many clinicians have reservations about its application in patients with complicated GERD, notably those with esophageal shortening. In this report, we present our experience with the laparoscopic management of the shortened esophagus. A total of 235 patients with primary GERD underwent laparoscopic antireflux procedures, 38 of whom were suspected preoperatively to have a shortened esophagus. Of the 235 patients, 8 (3.4%) needed a left thoracoscopically assisted gastroplasty in addition to laparoscopic Toupet repair (n = 4) or Nissen fundoplication (n = 4). Complications included pleural effusion (n = 1), pneumothorax (n = 2), and minor atelectasis (n = 1). The average hospital stay was 3 days. Results were satisfactory in 7 of 8 patients, with a mean follow-up of 20.2 months (range, 9-34 months). The surgical management of the shortened esophagus is difficult. However, the role of minimally invasive techniques is justified. Early results are appealing, with less morbidity, satisfactory control of GERD related symptoms, and a shortened hospital stay.
| Original language | English |
|---|---|
| Pages (from-to) | 508-512 |
| Number of pages | 5 |
| Journal | Surgical Endoscopy |
| Volume | 14 |
| Issue number | 5 |
| DOIs | |
| State | Published - May 2000 |
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All Science Journal Classification (ASJC) codes
- Surgery
Cite this
Left side thoracoscopically assisted gastroplasty : A new technique for managing the shortened esophagus. / Awad, Z. T.; Filipi, Charles; Mittal, S. K.; Roth, T. A.; Marsh, R. E.; Shiino, Y.; Tomonaga, T.
In: Surgical Endoscopy, Vol. 14, No. 5, 05.2000, p. 508-512.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Left side thoracoscopically assisted gastroplasty
T2 - A new technique for managing the shortened esophagus
AU - Awad, Z. T.
AU - Filipi, Charles
AU - Mittal, S. K.
AU - Roth, T. A.
AU - Marsh, R. E.
AU - Shiino, Y.
AU - Tomonaga, T.
PY - 2000/5
Y1 - 2000/5
N2 - Laparoscopic antireflux surgery is the procedure of choice for gastroesophageal reflux disease (GERD). However, many clinicians have reservations about its application in patients with complicated GERD, notably those with esophageal shortening. In this report, we present our experience with the laparoscopic management of the shortened esophagus. A total of 235 patients with primary GERD underwent laparoscopic antireflux procedures, 38 of whom were suspected preoperatively to have a shortened esophagus. Of the 235 patients, 8 (3.4%) needed a left thoracoscopically assisted gastroplasty in addition to laparoscopic Toupet repair (n = 4) or Nissen fundoplication (n = 4). Complications included pleural effusion (n = 1), pneumothorax (n = 2), and minor atelectasis (n = 1). The average hospital stay was 3 days. Results were satisfactory in 7 of 8 patients, with a mean follow-up of 20.2 months (range, 9-34 months). The surgical management of the shortened esophagus is difficult. However, the role of minimally invasive techniques is justified. Early results are appealing, with less morbidity, satisfactory control of GERD related symptoms, and a shortened hospital stay.
AB - Laparoscopic antireflux surgery is the procedure of choice for gastroesophageal reflux disease (GERD). However, many clinicians have reservations about its application in patients with complicated GERD, notably those with esophageal shortening. In this report, we present our experience with the laparoscopic management of the shortened esophagus. A total of 235 patients with primary GERD underwent laparoscopic antireflux procedures, 38 of whom were suspected preoperatively to have a shortened esophagus. Of the 235 patients, 8 (3.4%) needed a left thoracoscopically assisted gastroplasty in addition to laparoscopic Toupet repair (n = 4) or Nissen fundoplication (n = 4). Complications included pleural effusion (n = 1), pneumothorax (n = 2), and minor atelectasis (n = 1). The average hospital stay was 3 days. Results were satisfactory in 7 of 8 patients, with a mean follow-up of 20.2 months (range, 9-34 months). The surgical management of the shortened esophagus is difficult. However, the role of minimally invasive techniques is justified. Early results are appealing, with less morbidity, satisfactory control of GERD related symptoms, and a shortened hospital stay.
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U2 - 10.1007/s004640000091
DO - 10.1007/s004640000091
M3 - Article
VL - 14
SP - 508
EP - 512
JO - Surgical Endoscopy
JF - Surgical Endoscopy
SN - 0930-2794
IS - 5
ER -