Transthoracic Gastroplasty (Collis) and Nissen Fundoplication

  • Jameson L. Chassin


As discussed in the previous chapters (see esp. Chap. 10), this operation is indicated in patients with reflux esophagitis that has caused a significant degree of fibrosis, constriction, and shortening of the esophagus. In some patients without much esophageal shortening, advanced fibrosis itself will interfere with the antireflux efficiency of a fundoplication because the rigid esophageal walls will not be compressed by the fundoplication. For this reason, Pearson and Henderson; Urschel, Razzuk, Wood, Galbraith et al.; and Orringer and colleagues (see Chap. 10) believe that almost every esophageal stricture caused by reflux should be treated by a Collis gastroplasty and an antireflux procedure. A previous subtotal gastrectomy generally contraindicates a Collis gastroplasty. Most patients with recurrent reflux esophagitis after a previous operation will require a thoracoabdominal Collis-Nissen operation.


Vagus Nerve Staple Line Esophageal Stricture Esophagogastric Junction Left Gastric Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Orringer MB, Orringer JS. The combined Collis-Nissen operation: early assessment of reflux control. Ann Thorac Surg 1982;33:534.PubMedCrossRefGoogle Scholar
  2. Orringer MB, Sloan H. Combined Collis-Nissen reconstruction of the esophagogastric junction. Ann Thorac Surg 1978;25:16.PubMedCrossRefGoogle Scholar
  3. Pearson FG, Henderson RD. Experimental and clinical studies of gastroplasty in the management of acquired short esophagus. Surg Gynecol Obstet 1973;136:737.PubMedGoogle Scholar
  4. Stirling MC, Orringer MB. Continued assessment of the combined Collis-Nissen operation. Ann Thorac Surg 1989;47:224–230.PubMedCrossRefGoogle Scholar
  5. Urschel HC, Razzuk MA, Wood RE, Galbraith NF 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 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

Personalised recommendations