Stapled, Uncut Gastroplasty for Hiatal Hernia: 12-Year Follow-up

Demos, Nicholas J.

doi:10.1016/s0003-4975(10)62293-x

Cited by 24 publications

(10 citation statements)

References 12 publications

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“…In 1999, we published a 24 year follow-up of our stapled uncut gastroplasty in 161 patients. Only one fatality occurred in an emergency operation [6,7]. Our patient expired seven months after the first endoscopy in a nursing facility.…”

Section: Discussionmentioning

confidence: 99%

Biliary Esophagitis: A Case Report

Demos¹,

Agams²,

Becker³

2017

J Gastrointest Dig Syst

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Section: Discussionmentioning

confidence: 99%

Biliary Esophagitis: A Case Report

Demos¹,

Agams²,

Becker³

2017

J Gastrointest Dig Syst

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“…Therefore to create a longer intraabdominal esophagus, these classic antireflux techniques are modified. In cases with a short intraabdominal esophagus, the Collis procedure, where the fundus is vertically sutured and divided along the lesser curvature, or the uncut Collis procedure, where the fundus is sutured vertically along the lesser curvature but not divided, is usually preferred (3,(14)(15)(16). During the Collis and uncut Collis procedures, usually a total or partial wrap fundoplication is added to the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…During the Collis and uncut Collis procedures, usually a total or partial wrap fundoplication is added to the procedure. The uncut Collis procedure with fundoplication is a standard antireflux procedure performed transthoracically in adults (14,15). Hoffman et al performed the uncut Collis procedure with fundoplication transabdominally in children (16).…”

Section: Discussionmentioning

confidence: 99%

The Contribution of Elevated Gastric Pressure to Prevention of Gastroesophageal Reflux in Several Different Antireflux Procedures

et al. 2005

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Although there are many studies evaluating the effect of elevated gastric pressure in total wrap and partial anterior and posterior wrap fundoplications, there are no ex vivo manometric studies evaluating the contribution of elevated gastric pressure to prevention of gastroesophageal reflux (GER) in Collis and uncut Collis procedures without fundoplication. An experimental study has been designed to determine the contribution of elevated intragastric pressure in the absence of in vivo anatomic and functional factors to the prevention of GER in Collis and uncut Collis without fundoplication procedures. The study was conducted on adult male New Zealand rabbits' esophagus and stomachs. The stomachs were divided into four groups: total wrap fundoplication group, partial wrap anterior fundoplication group, Collis without fundoplication group, and uncut Collis without fundoplication group. The minimum intragastric pressure (MIP) causing GER of each stomach before and after the procedure were measured with a two-way catheter introduced through the pylorus. The MIP values causing GER of the total wrap and partial anterior wrap fundoplication groups were found to be significantly higher compared with the basal intragastric pressures (P < 0.01). The MIP values causing GER of the Collis and uncut Collis without fundoplication groups were not significantly different compared with basal intragastric pressures (P > 0.05). The elevated gastric pressure is found to be insufficient to prevent GER in Collis and uncut Collis without fundoplication procedures. The efficacy of these procedures in preventing GER seems to be related to the anatomic and functional factors affecting in vivo circumstances.

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“…Modifi cations to this technique were proposed, such that vertical gastric plication (VGP) would be performed without sectioning the gastric wall, with the association of a valve mechanism. [12][13][14][15] Performing the plication produces lengthening of the abdominal esophagus, and fundoplication would offer better control over refl ux. The observations have shown that fundoplication makes it diffi cult for the stomach to distend, thereby causing additional difficulty in passage through the esophagus and accentuating the occurrence of dysphagia and respiratory diffi culties.…”

Section: Introductionmentioning

confidence: 99%

Vertical gastric plication versus Nissen fundoplication in the treatment of gastroesophageal reflux in children with cerebral palsy

2007

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RESULTS:The mean follow-up was 5.2 months; symptoms were reduced by 42.8% (NF) (p = 0.001) and 57.1% (VGP) (p = 0.006). The Boix-Ochoa score was favorable for both groups: NF (p < 0.001) and VGP (p < 0.042). The overall mortality was 14.28% in both groups and was due to causes unrelated to the surgical treatment. CONCLUSION:The two operative procedures were shown to be effi cient and effi cacious for the treatment of GERD in neuropathic patients, over the study period.

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Stapled, Uncut Gastroplasty for Hiatal Hernia: 12-Year Follow-up

Cited by 24 publications

References 12 publications

Biliary Esophagitis: A Case Report

Biliary Esophagitis: A Case Report

The Contribution of Elevated Gastric Pressure to Prevention of Gastroesophageal Reflux in Several Different Antireflux Procedures

Vertical gastric plication versus Nissen fundoplication in the treatment of gastroesophageal reflux in children with cerebral palsy

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