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Reflux gastro-œsophagien sur œsophage court: diagnostic radiologique et traitement chirurgical

Reflux-related short esophagus: radiological diagnosis and surgical treatment

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Acta Endoscopica

Résumé

L’œsophage court est une réalité anatomique chez près de 7 % des patients référés pour chirurgie antireflux. L’examen radiologique baryté comportant des clichés pris en position debout est le meilleur moyen d’apprécier l’irréductibilité de la jonction œso-gastrique sous le diaphragme. La fundoplicature intrathoracique selon Nissen réalisée par thoracotomie gauche est la meilleure technique chirurgicale pour obtenir un contrôle permanent et durable du reflux du contenu gastrique dans la lumière d’un œsophage court. Certains détails d’ordre technique doivent être impérativement respectés pour éviter des complications chirurgicales graves.

Summary

Short esophagus is present in about 7 % of patients referred for antireflux surgery. Barium swallow study including X-rays taken in the upright position is the most appropriate method for assessing the irreducibility of the GE junction below the diaphragm. Permanent control of reflux is best achieved using the intrathoracic fundoplication technique according to Nissen. Strict observance of critical technical details is mandatory to make the procedure safe and successful.

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Author notes

  1. J. M. Collard

    Present address: Departments of Abdominal Surgery and Transplantation and of Radiology, Saint Luc Academic Hospital, Brussels, Belgium

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  1. Departments of Abdominal Surgery and Transplantation and of Radiology, Saint Luc Academic Hospital, Brussels, Belgium

    L. Goncette

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  1. J. M. Collard
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Collard, J.M., Goncette, L. Reflux gastro-œsophagien sur œsophage court: diagnostic radiologique et traitement chirurgical. Acta Endosc 38, 283–290 (2008). https://doi.org/10.1007/BF02961988

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