Extended hiatoplasty: Early experience with a simple technique to increase the intraabdominal esophageal length in complicated gastroesophageal reflux

Bustorff‐Silva, Joaquim Murray; Moreira, Altair Benedito; Cavalaro, Márcia Alessandra; Filho, Antônio Aldo Melo

doi:10.1053/jpsu.2001.22281

Cited by 7 publications

(7 citation statements)

References 11 publications

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“…The literature search revealed 258 articles, with ten studies meeting the inclusion criteria [1,[9][10][11][12][13][14][15][16][17], as detailed in the flow diagram ( Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

Outcomes of laparoscopic management of hiatus hernia in the pediatric age group: a systematic review

Costa

Saxena

2020

J Ped Endosc Surg

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Purpose This study reviewed outcomes on laparoscopic management of hiatus hernia (HH) in the pediatric age group. Methods MEDLINE/PubMed was reviewed. Studies in patients ≤ 17 years and published in English/Portuguese/Spanish were included, and selected by two reviewers. Data was collected for previous surgery, neurological impairment, type of HH, associated fundoplication, surgical technique, conversions, recurrence, follow-up and mortality. Results are presented as percentages and means. Fisher's Exact Test was used to evaluate categorical variables, and statistical difference was considered when p ≤ 0.05. Results Ten articles with n = 171 met the inclusion criteria. Mean age were 66.1 months (range newborn-17 years) with male predominance (n = 110, 64.3%). Neurological impairment was reported in 10/35 children, but the information was not available for the majority of cases (n = 136; 79.5%). Type-I HH was reported in 15 children, type-II in seven, type-III in eight, and it was not specified in n = 141 (82.5%). Surgical correction was associated with fundoplication in n = 170 (99.4%; n = 99 Nissen, n = 68 Thal, n = 3 not specified). Patch was not used in the majority of cases (n = 167, 97.7%). There were seven conversions (4.1%), five recurrences (2.9%) and no mortality. Complications were reported in n = 27 (15.8%), esophageal stenosis being the most common (n = 24; only five required treatment). Mean follow-up was 19.7 months (range 1-138 months). Conclusions Pediatric reporting on laparoscopic HH management is scarce, and important information is frequently omitted (e.g., neurological impairment, type of HH). The preferred approach is associated with Nissen/Thal fundoplication without patch. Recurrence occurred in less than 3% of the cases, and complications are minor, without mortality.

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“…The literature search revealed 258 articles, with ten studies meeting the inclusion criteria [1,[9][10][11][12][13][14][15][16][17], as detailed in the flow diagram ( Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

Outcomes of laparoscopic management of hiatus hernia in the pediatric age group: a systematic review

Costa

Saxena

2020

J Ped Endosc Surg

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“…Existen numerosas publicaciones de tratamiento del esófago corto en adultos, pero en niños son escasas, por lo que la frecuencia de este padecimiento en pacientes pediátricos se desconoce 4,5 .…”

Section: Discussionunclassified

“…La prevalencia en adultos varía del 8 al 10% en los pacientes a quienes se les practica una funduplicatura. En los niños se desconoce su incidencia, pues las publicaciones en pacientes pediátricos son escasas 4,5 .…”

Section: Introductionunclassified

“…-Asegurarse de tener 2-3 cm de esófago intraabdominal sin tensión -Si lo anterior no es posible a pesar de una amplia disección mediastinal, se deberá llevar a cabo algún procedimiento que permita mantener la funduplicatura por abajo del diafragma sin tensión. Se ha propuesto subir el diafragma por arriba de la funduplicatura en un procedimiento llamado hiatoplastía extendida 4 .…”

Section: Introductionunclassified

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Procedimiento de Collis-Nissen laparoscópico para el tratamiento del esófago corto en niños

García-Hernández¹,

Carvajal-Figueroa²,

Archivaldo-García³

et al. 2020

CIRU

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Antecedentes: El esófago corto es la imposibilidad de obtener una porción adecuada de esófago abdominal, por lo que se requiere alguna técnica de alargamiento. La mejor opción es el procedimiento de Collis. Objetivo: Demostrar la eficacia del procedimiento de Collis-Nissen por laparoscopía en niños. Método: Estudio retrospectivo, descriptivo, serie de casos, niños con reflujo y esófago corto, esofagoplastía de Collis con engrapadora y funduplicatura. Se analizaron edad, sintomatología, antecedentes quirúrgicos, tiempo quirúrgico, inicio de vía oral, tiempo de hospitalización, complicaciones y control del reflujo. Resultados: De 2005 a 2017 se trataron ocho niños de 4 a 15 años. De ellos, tres con antecedente de funduplicatura deslizada y dos con antecedente de atresia esofágica. El resto sin antecedentes, dos con estenosis. Síntomas; tos 8/8, dolor abdominal 5/8, disfagia 3/8. Sin complicaciones. Inició de vía oral al quinto día. Seguimiento de hasta 10 años, con remisión total de la sintomatología en seis casos. Discusión: Debido a que el diagnóstico de esófago corto verdadero depende de los hallazgos transoperatorios, los cirujanos pediatras deben reconocer esta condición al momento de practicar cualquier procedimiento antirreflujo. El procedimiento de Collis-Nissen laparoscópico es una opción segura y eficaz en estos pacientes.

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“…The prevalence in adults varies ranges from 8 to 10% in patients who undergo fundoplication. Its incidence in children is not known, since publications in pediatric patients are scarce 4,5 .…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Collis-Nissen approach for shortened esophagus treatment in children

García-Hernández¹,

Carvajal-Figueroa²,

Archivaldo-García³

et al. 2023

CIRUE

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Background: Short esophagus is a disability to obtain a proper portion of abdominal esophagus, thus a lengthening technique is required. Collis approach is the best option. Objective: The objective of the study was to demonstrate the effectiveness of laparoscopic Collis-Nissen approach in children. Methods: Retrospective and descriptive case series performed in children with reflux and short esophagus, Collis esophagoplasty was carried out with stapler, together with fundoplication. Age, symptomatology, surgical background, oral nutrition beginning, hospital stay, complications, and reflux control were recorded. Results: Eight children, 4-15 years old were treated from 2005 to 2017. Three of them with slipped fundoplication background and two with esophageal atresia. The rest of the children had no background, two of them with stenosis . Symptoms: cough 8/8, abdominal pain 5/8, and dysphagia 3/8. Without complications. Oral nutrition beginning at the 5t h day. Up to 10 years follow-up, with complete remission of the symptomatology in 6 years. Discussion: Since a true short esophagus diagnosis depends on transurgical findings, pediatric surgeons should notice this entity when practicing any antireflux procedure. Laparoscopic Collis-Nissen approach is safe and efficient in these patients.

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Extended hiatoplasty: Early experience with a simple technique to increase the intraabdominal esophageal length in complicated gastroesophageal reflux

Cited by 7 publications

References 11 publications

Outcomes of laparoscopic management of hiatus hernia in the pediatric age group: a systematic review

Outcomes of laparoscopic management of hiatus hernia in the pediatric age group: a systematic review

Procedimiento de Collis-Nissen laparoscópico para el tratamiento del esófago corto en niños

Laparoscopic Collis-Nissen approach for shortened esophagus treatment in children

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