Laparoscopic collis gastroplasty is the treatment of choice for the shortened esophagus

The Short Esophagus: Pathophysiology, Incidence, Presentation, and Treatment in the Era of Laparoscopic Antireflux Surgery

“…In one of these series, 10% of all patients had a diagnosis of a true shortened esophagus, with 7% requiring a more extensive mediastinal mobilization (type II dissection) and 3% requiring a Collis gastroplasty using the previously described thoracoscopic/laparoscopic approach. 28 In the second report, 4% of 220 patients in the series required a Collis gastroplasty using the transabdominal, double-stapling technique. 29 The mean surgical time was 257 and 294 minutes, respectively.…”

“…Both studies described a 3% to 4% incidence of patients requiring a Collis gastroplasty. 28,29 One of the reports included 500 patients, 7% of whom required a type II dissection and 3% of whom required a Collis, for a total short esophagus incidence of 10%. 28 These statistics seem to correlate with the incidence in the open literature.…”

“…15 As a result of descriptions of endoscopic versions of the Collis-Nissen procedure, conversion to an open thoracic or abdominal incision is no longer required. 28,29 This development, as well as increasing comfort with laparoscopic foregut surgery, means that all requirements for a tension-free fundoplication, including a lengthening procedure when required, can be achieved while maintaining the benefits of a less invasive approach. The diagnosis of a short esophagus can be objectively confirmed, a precise mobilization of the mediastinal esophagus can be safely performed high into the mediastinum, the tension needed to reduce the GEJ can be reliably assessed, and a Collis gastroplasty can be performed when needed and a wrap fashioned around the neoesophagus.…”

Gastroplastia a Collis associada à fundoplicatura parcial ou total: estudo experimental

“…As a final surgery Collis information, associated with partial or total fundoplication, laparoscopic surgery can be performed by drawing the benefits of minimally invasive surgery, resulting in clinical series and satisfactory results when controlling reflux 13,14,17,31,32 . It can be, therefore, recommended for severe cases of shortened esophagus.…”

“…All these mentioned factors interfere with ordinary sutures used in surgeries and result in increased tension on the repair, damaging reflux correction 2 . The surgery advent through video-laparoscopy is now also employed by this route, and it is considered the first choice for severe shortened esophagus cases and with great difficulty for solving the reflux 3,31 .…”