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J Thorac Cardiovasc Surg 2008;136:842
© 2008 The American Association for Thoracic Surgery

General Thoracic Surgery

Expert commentary: A multicenter study to define the incidence of short esophagus in surgical patients with gastroesophageal reflux disease

F. Griffith Pearson, MD*

Division of Thoracic Surgery, University of Toronto—Toronto General Hospital, Mansfield, Ontario, Canada

Received for publication June 16, 2008; accepted for publication June 16, 2008.

* Address for reprints: F. Griffith Pearson, MD, University of Toronto—Toronto General Hospital, Surgery—Division of Thoracic Surgery, RR 1, Mansfield, ON L0N 1M0 Canada. (Email: fgpearson@sympatico.ca).

The first 20% of the full text of this article appears below.


See related article on page 834.

 

In 1960, during a traveling fellowship in England, I met Jack Leigh Collis in Birmingham. There I was introduced to his original concept of adding a "gastroplasty" to the Collis repair for patients with extreme degrees of peptic esophagitis and stricture. Such advanced cases are rarely encountered today, but in those earlier times, there was no doubt whatsoever that such patients had a significant extent of acquired "short esophagus." Collis used a thoracoabdominal exposure and fashioned a long, 9-cm gastric tube, . . . [Full Text of this Article]


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The short esophagus: Intraoperative assessment of esophageal length
Sandro Mattioli, Maria Luisa Lugaresi, Mario Costantini, Alberto Del Genio, Natale Di Martino, Landino Fei, Uberto Fumagalli, Vincenzo Maffettone, Luigi Monaco, Mario Morino, Fabrizio Rebecchi, Riccardo Rosati, Mauro Rossi, Stefano Santi, Vincenzo Trapani, and Giovanni Zaninotto
J. Thorac. Cardiovasc. Surg. 2008 136: 834-841. [Abstract] [Full Text] [PDF]





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