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A Mastery Approach to Complex Esophageal DiseasesShort Esophagus

A Mastery Approach to Complex Esophageal Diseases: Short Esophagus [A short esophagus is a well-recognized risk factor for failure of an antireflux procedure, accounting for 20–43% of all surgical failures after this procedure. Literature shows that short esophagus may be present in 3–14% of patients undergoing primary antireflux surgery. The essential concept of SE is that adequate intra-abdominal esophageal length cannot be achieved even after maximal esophageal mobilization. Although this concept may seem straightforward, it is nonetheless controversial. Various surgical options for SE have been reported, including intrathoracic fundoplication, esophageal resection, and lengthening procedures, with Collis gastroplasty followed by fundoplication being the most common treatment.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A Mastery Approach to Complex Esophageal DiseasesShort Esophagus

Editors: Oleynikov, Dmitry; Fisichella, P. Marco
Masuda, Takahiro; Mittal, Sumeet K.
Springer Journals — Apr 21, 2018
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Publisher
Springer International Publishing
Copyright
© Springer International Publishing AG, part of Springer Nature 2018
ISBN
978-3-319-75794-0
Pages
103 –115
DOI
10.1007/978-3-319-75795-7_8
Publisher site
See Chapter on Publisher Site

Abstract

[A short esophagus is a well-recognized risk factor for failure of an antireflux procedure, accounting for 20–43% of all surgical failures after this procedure. Literature shows that short esophagus may be present in 3–14% of patients undergoing primary antireflux surgery. The essential concept of SE is that adequate intra-abdominal esophageal length cannot be achieved even after maximal esophageal mobilization. Although this concept may seem straightforward, it is nonetheless controversial. Various surgical options for SE have been reported, including intrathoracic fundoplication, esophageal resection, and lengthening procedures, with Collis gastroplasty followed by fundoplication being the most common treatment.]

Published: Apr 21, 2018

Keywords: Short esophagus; Esophagus; Hiatal hernia; Gastroesophageal reflux disease; Collis gastroplasty; Nissen fundoplication; Antireflux procedure

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