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Technical Options and Approaches to Lengthen the Shortened Esophagus.

Publication ,  Journal Article
Hartwig, MG; Najmeh, S
Published in: Thorac Surg Clin
November 2019

Failure to recognize a short esophagus during paraesophageal hernia repair can lead to poor functional outcomes and increased recurrence rates. Diagnosis is usually done intraoperatively when less than 2 to 3 cm of esophagus lie in the intraabdominal position. If aggressive esophageal mediastinal mobilization is unable to lengthen the esophagus, the surgeon should perform an esophageal lengthening procedure. A modified Collis gastroplasty is most commonly used and can be performed through a variety of transabdominal or transthoracic approaches. These procedures are safe, durable, and associated with good long-term outcomes. Patient selection and safe surgical technique are key in avoiding complications.

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Published In

Thorac Surg Clin

DOI

EISSN

1558-5069

Publication Date

November 2019

Volume

29

Issue

4

Start / End Page

387 / 394

Location

United States

Related Subject Headings

  • Respiratory System
  • Patient Selection
  • Organ Size
  • Mediastinum
  • Laparoscopy
  • Humans
  • Herniorrhaphy
  • Hernia, Hiatal
  • Gastroplasty
  • Fundoplication
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hartwig, M. G., & Najmeh, S. (2019). Technical Options and Approaches to Lengthen the Shortened Esophagus. Thorac Surg Clin, 29(4), 387–394. https://doi.org/10.1016/j.thorsurg.2019.07.004
Hartwig, Matthew G., and Sara Najmeh. “Technical Options and Approaches to Lengthen the Shortened Esophagus.Thorac Surg Clin 29, no. 4 (November 2019): 387–94. https://doi.org/10.1016/j.thorsurg.2019.07.004.
Hartwig MG, Najmeh S. Technical Options and Approaches to Lengthen the Shortened Esophagus. Thorac Surg Clin. 2019 Nov;29(4):387–94.
Hartwig, Matthew G., and Sara Najmeh. “Technical Options and Approaches to Lengthen the Shortened Esophagus.Thorac Surg Clin, vol. 29, no. 4, Nov. 2019, pp. 387–94. Pubmed, doi:10.1016/j.thorsurg.2019.07.004.
Hartwig MG, Najmeh S. Technical Options and Approaches to Lengthen the Shortened Esophagus. Thorac Surg Clin. 2019 Nov;29(4):387–394.
Journal cover image

Published In

Thorac Surg Clin

DOI

EISSN

1558-5069

Publication Date

November 2019

Volume

29

Issue

4

Start / End Page

387 / 394

Location

United States

Related Subject Headings

  • Respiratory System
  • Patient Selection
  • Organ Size
  • Mediastinum
  • Laparoscopy
  • Humans
  • Herniorrhaphy
  • Hernia, Hiatal
  • Gastroplasty
  • Fundoplication