Laparoscopic Collis-Nissen Procedure in a Patient With Type IV Hiatal Hernia: Relevance of a Short Esophagus

A short esophagus is generally diagnosed during antireflux surgery and is defined as a distance of less than 2 cm between the gastroesophageal junction and the apex of the hiatus. We present a female patient with a CT diagnosis of type IV hiatal hernia who was scheduled for antireflux surgery, showe...

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Bibliographic Details
Published in:	Curēus (Palo Alto, CA) Vol. 16; no. 8; p. e67530
Main Authors:	Acuña Cota, Carlos F, Bravo Raygoza, Jorge L, Ballardo Medina, Christian, Matus Rojas, Jaime, Figueroa Beltran, Maria V
Format:	Journal Article
Language:	English
Published:	United States Cureus Inc 22-08-2024 Cureus
Subjects:	Abdomen Dissection Dysphagia Endoscopy Esophagus Fistula Gastroenterology Gastroesophageal reflux General Surgery Hiatal hernias Laparoscopy Morbidity Mortality Patients Stomach Surgery fundoplication nissen fundoplication laparoscopic hernioplasty short esophagus hiatal hernia collis gastroplasty
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Summary:	A short esophagus is generally diagnosed during antireflux surgery and is defined as a distance of less than 2 cm between the gastroesophageal junction and the apex of the hiatus. We present a female patient with a CT diagnosis of type IV hiatal hernia who was scheduled for antireflux surgery, showed a short esophagus during the procedure, opted to perform Collis gastroplasty, and discharged without complications. A short esophagus remains a controversial topic. Some authors argue that it is more common than suspected and responsible for high recurrences in specific patient groups.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	2168-8184 2168-8184
DOI:	10.7759/cureus.67530