OBJECTIVES: @entity357 ( @entity357 ) is associated with a true short oesophagus in more than 50% of cases; dedicated treatment of this condition might be appropriate to reduce the recurrence rate after surgery. A case series of @entity1 receiving surgery for Type III-IV @entity547 was examined for short oesophagus, and the results were analysed. METHODS: From 1980 to 1994, 60 @entity1 underwent an open surgical approach, and the position of the oesophago-gastric junction was visually localized; from 1995 to 2013, 48 @entity1 underwent a minimally invasive approach, and the oesophago-gastric junction was objectively localized using a laparoscopic-endoscopic method. The @entity1 underwent a timed clinical-instrumental follow-up that included symptoms assessment, barium swallow and endoscopy. The results were considered to be excellent in the absence of symptoms and @entity354 ; good, if symptoms occurred two to four times a month in the absence of @entity354 ; fair, if symptoms occurred two to four times a week in the presence of hyperaemia, @entity4 and/or microscopic @entity354 ; and poor, if symptoms occurred on a daily basis in the presence of any grade of @entity354 , @entity357 of any size or type, or the need for antireflux medical therapy. The follow-up time was calculated from the time of surgery to the last complete follow-up. RESULTS: Among the open surgery @entity1 , 78% underwent abdominal fundoplication, 10% the Belsey Mark IV procedure, 8% laparotomic Collis-Nissen fundoplication and 3% the Pearson operation. Among the minimally invasive surgery @entity1 , 44% underwent a laparoscopic floppy Nissen procedure and 56% a left thoracoscopic Collis-laparoscopic Nissen procedure. The postoperative mortality and complication rates were 1.6% (1/60) and 15% for open surgery and 4.1% (2/48) and 12.5% for minimally invasive surgery. A total of 105 @entity1 were followed up for a median period of 96 months. Five relapses occurred after open surgery (5/59, 8%) and two after minimally invasive surgery (2/46, 4%). Among the 105 @entity1 , excellent, good, fair and poor outcomes were observed in 38%, 44%, 9% and 9%, respectively. CONCLUSIONS: These data suggested that the selective treatment of short oesophagus in association with a Type III-IV @entity547 reduced the anatomical recurrence rate and achieved satisfactory outcomes. CLINICALTRIALSGOV ID: NCT01606449.

Surgery for XXXX : anatomical recurrence and global results after elective treatment of short oesophagus with open and minimally invasive surgery.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity4 :: ('MESH:D004487', 'Disease') :: ['oedema'] @entity357 :: ('MESH:D006551', 'Disease') :: ['Type III-IV hiatal hernia', 'HH'] @entity354 :: ('MESH:D005764', 'Disease') :: ['endoscopic oesophagitis', 'oesophagitis'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia']
@entity357 :: (MESH:D006551,Disease) :: ['Type III-IV hiatal hernia']
