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I.V. Sovpel

Gorky Donetsk National Medical University;
Professor Bondar Republican Cancer Center

R.V. Ishchenko

Federal Research and Clinical Center of Specialized Types of Medical Care and Medical Technologies

I.E. Sedakov

Gorky Donetsk National Medical University;
Professor Bondar Republican Cancer Center

O.V. Sovpel

Gorky Donetsk National Medical University;
Professor Bondar Republican Cancer Center

V.V. Balaban

Sechenov First Moscow State Medical University

Collis gastroplasty in surgical treatment of hiatal hernia

Authors:

I.V. Sovpel, R.V. Ishchenko, I.E. Sedakov, O.V. Sovpel, V.V. Balaban

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(6): 30‑37

DOI: 10.17116/hirurgia202106130

Read: 3913 times

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Table of contents

COLLIS GASTROPLASTY IN SURGICAL TREATMENT OF HIATAL HERNIA
COLLIS GASTROPLASTY IN SURGICAL TREATMENT OF HIATAL HERNIA

To cite this article:

Sovpel IV, Ishchenko RV, Sedakov IE, Sovpel OV, Balaban VV. Collis gastroplasty in surgical treatment of hiatal hernia. Pirogov Russian Journal of Surgery. 2021;(6):30‑37. (In Russ.)
https://doi.org/10.17116/hirurgia202106130

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze the early and long-term postoperative outcomes after Collis gastroplasty in the treatment of patients with hiatal hernia complicated by gastroesophageal reflux disease and shortening of the esophagus.

MATERIAL AND METHODS

Postoperative outcomes after Collis gastroplasty were analyzed in 22 patients with hiatal hernia and shortening of the esophagus. The control group consisted of 166 patients after simple repair of hiatal hernia without Collis procedure.

RESULTS

In case of Collis gastroplasty, surgery time was 185 (160-250) min. Intraoperative complications were observed in 3 (13.6%) patients, incidence of postoperative complications — 18.2%. There were no lethal outcomes in this group of patients. Mild functional dysphagia was observed in 2 (9.1%) patients. Length of hospital stay was 7.8±2.4 days. Mean follow-up was 34 (6—52) months. There were no anatomical recurrences. A relapse of gastroesophageal reflux was noted in 1 (4.6%) case. GERD-HRQL score was 4.8±2.2 points. Additional Collis gastroplasty did not affect the immediate and long-term results of surgical treatment in comparison with simple cruroraphy and fundoplication.

CONCLUSION

Unreduced shortening of the esophagus may be followed by high incidence of recurrent hiatal hernia and GERD in long-term period. In case of shortening of the esophagus, surgery should include Collis gastroplasty. This effective and safe procedure does not impair treatment outcomes. Indications and optimal technique of Collis gastroplasty require clarification and further research.

Keywords:

hiatal hernia
laparoscopic correction
short esophagus
Collis gastroplasty
immediate and long-term results

Authors:

I.V. Sovpel

Gorky Donetsk National Medical University;
Professor Bondar Republican Cancer Center

R.V. Ishchenko

Federal Research and Clinical Center of Specialized Types of Medical Care and Medical Technologies

I.E. Sedakov

Gorky Donetsk National Medical University;
Professor Bondar Republican Cancer Center

O.V. Sovpel

Gorky Donetsk National Medical University;
Professor Bondar Republican Cancer Center

V.V. Balaban

Sechenov First Moscow State Medical University

Received:

28.10.2020

Accepted:

22.11.2020

Close metadata

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