Kunio Nicholas R, Dolan James P, Hunter John G
Division of General and Vascular Surgery, Advocate Medical Group, 745 Fletcher Dr, Suite 302, Elgin, IL 60123, USA.
Division of Gastrointestinal and General Surgery, Digestive Health Center, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, L223A, Portland, OR 97239, USA.
Surg Clin North Am. 2015 Jun;95(3):641-52. doi: 10.1016/j.suc.2015.02.015. Epub 2015 Apr 1.
In the presence of long-standing and severe gastroesophageal reflux disease, patients can develop various complications, including a shortened esophagus. Standard preoperative testing in these patients should include endoscopy, esophagography, and manometry, whereas the objective diagnosis of a short esophagus must be made intraoperatively following adequate mediastinal mobilization. If left untreated, it is a contributing factor to the high recurrence rate following fundoplications or repair of large hiatal hernias. A laparoscopic Collis gastroplasty combined with an antireflux procedure offers safe and effective therapy.
在长期严重胃食管反流病的情况下，患者会出现各种并发症，包括食管缩短。这些患者术前的标准检查应包括内镜检查、食管造影和测压，而短食管的客观诊断必须在术中充分游离纵隔后做出。如果不进行治疗，它是胃底折叠术或大型食管裂孔疝修补术后高复发率的一个促成因素。腹腔镜科利斯胃成形术联合抗反流手术提供了安全有效的治疗方法。
