Transthoracic Gastroplasty (Collis) and Nissen Fundoplication: Surgical Legacy Technique

  • Carol E. H. Scott-ConnerEmail author
  • Jameson L. Chassin


Gastroplasty is a technique for lengthening the esophagus to allow safe fundoplication and placement of the wrap below the diaphragm. This chapter describes the classic transthoracic technique. Modifications have been developed to allow this to be done laparoscopically, and these are referenced at the end of the chapter.


Vagus Nerve Esophagogastric Junction Gastric Fundus Proximal Stomach Left Gastric Artery 
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Further Reading

  1. Garg N, Yano F, Filipi CJ, Mittal SK. Long-term symptomatic outcomes after Collis gastroplasty with fundoplication. Dis Esophagus. 2009;22:532.PubMedCrossRefGoogle Scholar
  2. Gastal OL, Hagan JA, Peters JH, et al. Short esophagus: analysis of predictors and clinical implications. Arch Surg. 1999;134:633.PubMedCrossRefGoogle Scholar
  3. Jobe BA, Horvath KD, Swanstrom LL. Postoperative function following laparoscopic Collis gastroplasty for shortened esophagus. Arch Surg. 1998;133:867.PubMedCrossRefGoogle Scholar
  4. Mittal SK, Bikhchandani J, Gurney O, Yano F, Lee T. Outcomes after repair of the intrathoracic stomach: objective follow-up of up to 5 years. Surg Endosc. 2011;25:556.PubMedCrossRefGoogle Scholar
  5. Orringer MB, Orringer JS. The combined Collis-Nissen operation: early assessment of reflux control. Ann Thorac Surg. 1982;33:534.PubMedCrossRefGoogle Scholar
  6. Urschel HC, Razzuk MA, Wood RE, et al. An improved surgical technique for the complicated hiatal hernia with gastroesophageal reflux. Ann Thorac Surg. 1973;15:443.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol E. H. Scott-Conner
    • 1
    Email author
  • Jameson L. Chassin
    • 2
  1. 1.Department of Surgery, Roy J. and Lucille A. Carver College of MedicineUniversity of IowaIowa CityUSA
  2. 2.Department of SurgeryNew York University School of MedicineNew YorkUSA

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