Pre-operative predictors of the short esophagus

Background: Short esophagus is a common cause of failure of anti-reflux surgery. Minimally invasive intervention for short esophagus is technically difficult. Reliable predictors of short esophagus would allow appropriate referral and better outcomes.
Methods: Between January 1994 and August 2007, a total of 84 patients underwent antireflux surgery with Collis gastroplasty (Group A) at Creighton University Medical Center. On the other hand, 204 consecutive patients who underwent primary Nissen or Toupet fundoplication from September 2003 thru August 2007 were chosen as a control (Group B). Retrospective review of patient characteristics and investigations was performed. Esophageal length index (ELI) was calculated as ratio of endoscopic esophageal length (in cm) to height (in meters).
Results: Patients in group A have a higher mean age (57years) than group B (54 years) but there were no significant differences in sex, height, weight and body mass index distribution between these groups. Mean endoscopic esophageal length (EEL) as measured from incisor to esophago-gastric junction was significantly shorter in Group A (32.4) as compared to Group B (36.2) (p


Session: Podium Presentation

Program Number: S092

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