5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study
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- dc.contributor.author Montcusí Ventura, Blanca
- dc.contributor.author Jaume Böttcher, Sofia Maria
- dc.contributor.author Álvarez, Idoia
- dc.contributor.author Ramón Moros, José Manuel
- dc.contributor.author Sánchez-Parrilla, Juan
- dc.contributor.author Grande Posa, Luís
- dc.contributor.author Pera Roman, Manuel Ramón
- dc.date.accessioned 2024-04-17T15:12:59Z
- dc.date.issued 2023
- dc.description.abstract Background: To assess the 5-year outcomes of patients undergoing Collis-Nissen gastroplasty for type III-IV hiatal hernia with short esophagus. Study design: From a prospective observational cohort of patients who underwent antireflux surgery for type III-IV hiatal hernia between 2009 and 2020, those with short esophagus (abdominal length <2.5 cm) in whom a Collis-Nissen procedure was performed and reached at least 5 years of follow-up were identified. Hernia recurrence, patients' symptoms, and quality of life were assessed annually by barium meal x-ray, upper endoscopy, and validated symptoms and Quality of Life in Reflux and Dyspepsia (QOLRAD) questionnaires. Results: Of the 114 patients with Collis-Nissen gastroplasty, 80 patients who completed a 5-year follow-up were included (mean age 71 years). There were no postoperative leaks or deaths. Recurrent hiatal hernia (any size) was identified in 7 patients (8.8%). Heartburn, regurgitation, chest pain, and cough were significantly improved at each follow-up interval (p < 0.05). Preoperative dysphagia disappeared or improved in 26 of 30 patients, while new-onset dysphagia occurred in 6. Mean postoperative QOLRAD scores significantly improved at all dimensions (p < 0.05). Conclusions: Collis gastroplasty combined with Nissen fundoplication provides low hernia recurrence, good control of symptoms, and improved quality of life in patients with large hiatal hernia and short esophagus.
- dc.format.mimetype application/pdf
- dc.identifier.citation Montcusí B, Jaume-Bottcher S, Álvarez I, Ramón JM, Sánchez-Parrilla J, Grande L, et al. 5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study. J Am Coll Surg. 2023 Oct 1;237(4):596-604. DOI: 10.1097/XCS.0000000000000785
- dc.identifier.doi http://dx.doi.org/10.1097/XCS.0000000000000785
- dc.identifier.issn 1072-7515
- dc.identifier.uri http://hdl.handle.net/10230/59811
- dc.language.iso eng
- dc.publisher Lippincott Williams & Wilkins
- dc.relation.ispartof J Am Coll Surg. 2023 Oct 1;237(4):596-604
- dc.rights © Lippincott Williams & Wilkins "This is a non-final version of an article published in final form in Montcusí B, Jaume-Bottcher S, Álvarez I, Ramón JM, Sánchez-Parrilla J, Grande L, Pera M.5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study. J Am Coll Surg. 2023 Oct 1;237(4):596-604. DOI: 10.1097/XCS.0000000000000785". http://dx.doi.org/10.1097/XCS.0000000000000785
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.keyword Hiatal hernia
- dc.subject.keyword Short esophagus
- dc.subject.keyword Collis-Nissen gastroplasty
- dc.subject.keyword Nissen fundoplication
- dc.subject.keyword Recurrence
- dc.subject.keyword Quality of life
- dc.title 5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/acceptedVersion