Background: Laparoscopic Nissen Fundoplication (LNF) with Collis Gastroplasty has been adopted as the treatment of choice for advanced gastroesophageal reflux disease (GERD) with shortened esophagus. Only few studies have described subjective and objective outcomes of LNF with Collis gastroplasty for this particular condition. Therefore our study is aimed to investigate long-term subjective and objective outcomes of LNF with Collis Gastroplasty and to compare them with those following LNF alone.
Methods : Retrospective analysis was performed in all patients undergoing LNF with collis gastroplasty between 2001-2006. Similar number of patients were selected and matched for age, gender and preoperative body mass index (BMI) to serve as a control group. Preoperative 24 hour pH study and esophageal manometry were obtained in majority of patients. Upper gastrointestinal contrast study (UGI) and esophagogastrosduodenoscopy (EGD) were compared pre and postoperatively in both groups.
Results : 20 patients undergoing LNF with collis gastroplasty were identified during the study period with mean age of 57.4, preoperative BMI of 30.2 and F:M ratio of 3:2. Preoperative pH study showed significantly higher DeMeester score in LNF-Collis group compared to LNF group (111.7 versus 31.8;p=0.023) whereas percentage of pH
Program Number: P343