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Short esophagus and esophageal stricture.

Hoang CD, Koh PS, Maddaus MA

Section of General Thoracic Surgery, Division of Cardiovascular and Thoracic Surgery, University of Minnesota Medical School, 420 Delaware Street SE, Minneapolis, MN 55455, USA.

Short esophagus and peptic esophageal stricture are complications of chronic severe GERD. Short esophagus is properly diagnosed by an objective,intraoperative assessment after appropriate dissection of the GEJ. A laparoscopic Collis gastroplasty combined with an antireflux procedure comprises effective therapy. Peptic stricture should be addressed with an initial course of dilator therapy and optimization of antiacid medication.Consideration is given to an antireflux procedure if conservative therapy fails.Laparoscopic techniques have proven to be safe and effective in treating short esophagus and peptic stricture.

Published 1 June 2005 in Surg Clin North Am, 85(3): 433-51.
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