Figure 7 - Collis gastroplasty.

From the following article

Surgical therapy for gastroesophageal reflux disease

Renee C. Minjarez and Blair A. Jobe

GI Motility online (2006)



The Collis gastroplasty is an esophageal lengthening procedure that addresses a shortened esophagus. First, an anvil is passed alongside an esophageal dilator through the fundus (a). This guides an EEA stapler used to create a sealed "buttonhole" (b,c). Through this transgastric circular window, a linear cutting stapler is then placed and fired parallel to the esophageal dilator (d,e) essentially converting a cuff of proximal stomach into the distal esophagus. The wrap is then performed around the neoesophagus. EEA, end-to-end anastomotic stapling device; GIA, gastrointestinal anastomotic stapling device. (Source: Horvath KD, et al. The short esophagus: pathophysiology, incidence, presentation, and treatment in the era of laparoscopic antireflux surgery. Ann Surg 2000;232(5):630–640., with permission from Lippincott, Williams & Wilkins.)

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