5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study

Background: To assess the 5-year outcomes of patients undergoing Collis-Nissen gastroplasty for type III-IV hiatal hernia with short esophagus. Study design: From a prospective observational cohort of patients who underwent antireflux surgery for type III-IV hiatal hernia between 2009 and 2020, thos...

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Autores: Montcusí Ventura, Blanca, Jaume Böttcher, Sofia Maria, Álvarez, Idoia, Ramón Moros, José Manuel, Sánchez-Parrilla, Juan, Grande Posa, Luís, Pera Román, Manuel
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2023
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/59811
Acceso en línea:http://hdl.handle.net/10230/59811
http://dx.doi.org/10.1097/XCS.0000000000000785
Access Level:acceso abierto
Palabra clave:Hiatal hernia
Short esophagus
Collis-Nissen gastroplasty
Nissen fundoplication
Recurrence
Quality of life
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spelling 5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational studyMontcusí Ventura, BlancaJaume Böttcher, Sofia MariaÁlvarez, IdoiaRamón Moros, José ManuelSánchez-Parrilla, JuanGrande Posa, LuísPera Román, ManuelHiatal herniaShort esophagusCollis-Nissen gastroplastyNissen fundoplicationRecurrenceQuality of lifeBackground: To assess the 5-year outcomes of patients undergoing Collis-Nissen gastroplasty for type III-IV hiatal hernia with short esophagus. Study design: From a prospective observational cohort of patients who underwent antireflux surgery for type III-IV hiatal hernia between 2009 and 2020, those with short esophagus (abdominal length <2.5 cm) in whom a Collis-Nissen procedure was performed and reached at least 5 years of follow-up were identified. Hernia recurrence, patients' symptoms, and quality of life were assessed annually by barium meal x-ray, upper endoscopy, and validated symptoms and Quality of Life in Reflux and Dyspepsia (QOLRAD) questionnaires. Results: Of the 114 patients with Collis-Nissen gastroplasty, 80 patients who completed a 5-year follow-up were included (mean age 71 years). There were no postoperative leaks or deaths. Recurrent hiatal hernia (any size) was identified in 7 patients (8.8%). Heartburn, regurgitation, chest pain, and cough were significantly improved at each follow-up interval (p < 0.05). Preoperative dysphagia disappeared or improved in 26 of 30 patients, while new-onset dysphagia occurred in 6. Mean postoperative QOLRAD scores significantly improved at all dimensions (p < 0.05). Conclusions: Collis gastroplasty combined with Nissen fundoplication provides low hernia recurrence, good control of symptoms, and improved quality of life in patients with large hiatal hernia and short esophagus.Lippincott Williams & Wilkins20242023info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/59811http://dx.doi.org/10.1097/XCS.0000000000000785reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésJ Am Coll Surg. 2023 Oct 1;237(4):596-604© Lippincott Williams & Wilkins "This is a non-final version of an article published in final form in Montcusí B, Jaume-Bottcher S, Álvarez I, Ramón JM, Sánchez-Parrilla J, Grande L, Pera M.5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study. J Am Coll Surg. 2023 Oct 1;237(4):596-604. DOI: 10.1097/XCS.0000000000000785". http://dx.doi.org/10.1097/XCS.0000000000000785info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/598112026-06-12T07:21:37Z
dc.title.none.fl_str_mv 5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study
title 5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study
spellingShingle 5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study
Montcusí Ventura, Blanca
Hiatal hernia
Short esophagus
Collis-Nissen gastroplasty
Nissen fundoplication
Recurrence
Quality of life
title_short 5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study
title_full 5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study
title_fullStr 5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study
title_full_unstemmed 5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study
title_sort 5-year collis-nissen gastroplasty outcomes for type III-IV hiatal hernia with short esophagus: a prospective observational study
dc.creator.none.fl_str_mv Montcusí Ventura, Blanca
Jaume Böttcher, Sofia Maria
Álvarez, Idoia
Ramón Moros, José Manuel
Sánchez-Parrilla, Juan
Grande Posa, Luís
Pera Román, Manuel
author Montcusí Ventura, Blanca
author_facet Montcusí Ventura, Blanca
Jaume Böttcher, Sofia Maria
Álvarez, Idoia
Ramón Moros, José Manuel
Sánchez-Parrilla, Juan
Grande Posa, Luís
Pera Román, Manuel
author_role author
author2 Jaume Böttcher, Sofia Maria
Álvarez, Idoia
Ramón Moros, José Manuel
Sánchez-Parrilla, Juan
Grande Posa, Luís
Pera Román, Manuel
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Hiatal hernia
Short esophagus
Collis-Nissen gastroplasty
Nissen fundoplication
Recurrence
Quality of life
topic Hiatal hernia
Short esophagus
Collis-Nissen gastroplasty
Nissen fundoplication
Recurrence
Quality of life
description Background: To assess the 5-year outcomes of patients undergoing Collis-Nissen gastroplasty for type III-IV hiatal hernia with short esophagus. Study design: From a prospective observational cohort of patients who underwent antireflux surgery for type III-IV hiatal hernia between 2009 and 2020, those with short esophagus (abdominal length <2.5 cm) in whom a Collis-Nissen procedure was performed and reached at least 5 years of follow-up were identified. Hernia recurrence, patients' symptoms, and quality of life were assessed annually by barium meal x-ray, upper endoscopy, and validated symptoms and Quality of Life in Reflux and Dyspepsia (QOLRAD) questionnaires. Results: Of the 114 patients with Collis-Nissen gastroplasty, 80 patients who completed a 5-year follow-up were included (mean age 71 years). There were no postoperative leaks or deaths. Recurrent hiatal hernia (any size) was identified in 7 patients (8.8%). Heartburn, regurgitation, chest pain, and cough were significantly improved at each follow-up interval (p < 0.05). Preoperative dysphagia disappeared or improved in 26 of 30 patients, while new-onset dysphagia occurred in 6. Mean postoperative QOLRAD scores significantly improved at all dimensions (p < 0.05). Conclusions: Collis gastroplasty combined with Nissen fundoplication provides low hernia recurrence, good control of symptoms, and improved quality of life in patients with large hiatal hernia and short esophagus.
publishDate 2023
dc.date.none.fl_str_mv 2023
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/59811
http://dx.doi.org/10.1097/XCS.0000000000000785
url http://hdl.handle.net/10230/59811
http://dx.doi.org/10.1097/XCS.0000000000000785
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv J Am Coll Surg. 2023 Oct 1;237(4):596-604
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Lippincott Williams & Wilkins
publisher.none.fl_str_mv Lippincott Williams & Wilkins
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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