A Collis gastroplasty is a surgical procedure performed when the surgeon desires to create a Nissen fundoplication, but the portion of esophagus inferior to the diaphragm is too short, so there is not enough esophagus to wrap. A vertical incision is made in the stomach parallel to the left border of the esophagus, effectively lengthening the esophagus with a tube of stomach tissue so that a fundoplication can be constructed around it without tension.
Facts
FAQs
How well has the Collis-Nissen operation worked for a shortened esophagus?
In a 52 patient series followed for about 7 years, reflux control was excellent and swallowing improved in all patients.
In one long-term surgical series of 52 patients, followed for an average of 7 years, there were no deaths, esophageal leaks or esophageal complications in the early postoperative period. Control of reflux was excellent and all patients had their dysphagia improved. Most patients who had a stricture before surgery needed at least one dilation afterward, although for most of them the need was short term. The authors concluded that the Collis-Nissen procedure, which combines a Collis gastroplasty with a Nissen fundoplication, is a safe and reasonable alternative for the small subset of patients with severe reflux disease causing a shortened esophagus and stricture. This is one surgeon's own series, so it describes results in a selected group of patients.
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
2. Collis gastroplasty (Wikipedia)
Wikimedia FoundationWikipedia: Collis gastroplasty, lead section
It was devised by John Leigh Collis (1911-2003), a British cardiothoracic surgeon, in 1957.
https://en.wikipedia.org/wiki/Collis_gastroplasty, lead section
A Collis gastroplasty is a surgical procedure performed when the surgeon desires to create a Nissen fundoplication, but the portion of esophagus inferior to the diaphragm is too short.
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