The diagnosis of short esophagus can be made only in operating room with a combined surgical and endoscopic measurament of the distance between the gastro-esophageal junction and the diaphragm, and only after extending mobilization of the mediastinal esophagus. When these conditions are met and the intra-abdominal portion of the esophagus is shorter than 2 to 3 cm with no downward tension applied, it is approriate to perform a Collis gastroplasty (level of evidence 3 to 4; recommendation grade C).

Lengthening gastroplasty for managing gastro-esophageal reflux.

MATTIOLI, SANDRO;LUGARESI, MARIALUISA
2007

Abstract

The diagnosis of short esophagus can be made only in operating room with a combined surgical and endoscopic measurament of the distance between the gastro-esophageal junction and the diaphragm, and only after extending mobilization of the mediastinal esophagus. When these conditions are met and the intra-abdominal portion of the esophagus is shorter than 2 to 3 cm with no downward tension applied, it is approriate to perform a Collis gastroplasty (level of evidence 3 to 4; recommendation grade C).
Decision in Thoracic Surgery. An evidence-based approach.
305
317
Mattioli S.; Lugaresi M.L.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11585/34860
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