caa a22 4500 475781090 CHVBK 20180406123644.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s004640000091 doi (NATIONALLICENCE)springer-10.1007/s004640000091 Left side thoracoscopically assisted gastroplasty [Elektronische Daten] A new technique for managing the shortened esophagus [Z. T. Awad, C. J. Filipi, S. K. Mittal, T. A. Roth, R. E. Marsh, Y. Shiino, T. Tomonaga] Laparoscopic antireflux surgery is the procedure of choice for gastroesophageal reflux disease (GERD). However, many clinicians have reservations about its application in patients with complicated GERD, notably those with esophageal shortening. In this report, we present our experience with the laparoscopic management of the shortened esophagus. A total of 235 patients with primary GERD underwent laparoscopic antireflux procedures, 38 of whom were suspected preoperatively to have a shortened esophagus. Of the 235 patients, 8 (3.4%) needed a left thoracoscopically assisted gastroplasty in addition to laparoscopic Toupet repair (n= 4) or Nissen fundoplication (n= 4). Complications included pleural effusion (n= 1), pneumothorax (n= 2), and minor atelectasis (n= 1). The average hospital stay was 3 days. Results were satisfactory in 7 of 8 patients, with a mean follow-up of 20.2 months (range, 9-34 months). The surgical management of the shortened esophagus is difficult. However, the role of minimally invasive techniques is justified. Early results are appealing, with less morbidity, satisfactory control of GERD related symptoms, and a shortened hospital stay. Springer-Verlag New York Inc., 2000 Key words: Laparoscopy — Short esophagus — Thoracoscopy treatment nationallicence Awad Z. T. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut Filipi C. J. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut Mittal S. K. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut Roth T. A. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut Marsh R. E. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut Shiino Y. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut Tomonaga T. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut Surgical Endoscopy Springer-Verlag 14/5(2000-05-01), 508-512 0930-2794 14:5<508 2000 14 464 https://doi.org/10.1007/s004640000091 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000091 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Awad Z. T. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut NATIONALLICENCE 700 1- Filipi C. J. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut NATIONALLICENCE 700 1- Mittal S. K. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut NATIONALLICENCE 700 1- Roth T. A. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut NATIONALLICENCE 700 1- Marsh R. E. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut NATIONALLICENCE 700 1- Shiino Y. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut NATIONALLICENCE 700 1- Tomonaga T. Department of Surgery, Creighton University School of Medicine, Suite 3740, 601 N. 30th Street, Omaha, NE 68131, USA, US aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/5(2000-05-01), 508-512 0930-2794 14:5<508 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer