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Collis–Nissen fundoplication using a computer-powered right angle linear cutting stapler in children

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Abstract

We reviewed our clinical experience of using a computer-powered right angle linear cutter (CPRALC) for Collis–Nissen fundoplication (CNF) in three children with gastroesophageal reflux (GER) or failed Nissen associated with short esophagus. Case 1 was a 13-month-old female with persistent GER after type-C esophageal atresia repair. Case 2 was a 2-year-old female with dysphagia secondary to fundic wrap migration after laparoscopic Nissen. Case 3 was a 3-year-old male with post type-C esophageal atresia repair, dysphagia secondary to fundic wrap migration after open Nissen. All had short esophagus confirmed pre- or intra-operatively. After the esophagus was mobilized, Collis vertical gastroplasty was performed using CPRALC parallel to the lesser curve to elongate the esophagus. Nissen fundoplication was performed loosely around the neo-esophagus. There were no intra- or post-operative complications, although case 3 still has mild dysphagia, requiring dilatation. This is the first report of CNF performed using CPRALC in children. It would appear to be safe and effective for treating children with GER or failed Nissen associated with short esophagus.

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References

  1. Lopes M, Kalfa N, Forgues D, Guibal MP, Galifer RB, Allel H (2008) Laparoscopic redo fundoplication in children. Failure causes and feasibility. J Pediatr Surg 43:1885–1890

    Article  Google Scholar 

  2. Graziano K, Teitelbaum DH, McLean K, Hirschl RB, Coran AG, Geiger JD (2003) Recurrence after laparoscopic and open Nissen fundoplication. Surg Endosc 17:704–707

    Article  PubMed  CAS  Google Scholar 

  3. Pacilli M, Eaton S, Maritsi D, Lopez PJ, Spitz L, Kiely EM, Drake DP, Curry JI, Pierro A (2007) Factors predicting failure of redo Nissen fundoplication in children. Pediatr Surg Int 23:499–503

    Article  PubMed  Google Scholar 

  4. Collis JL (1957) An operation for hiatus hernia for short esophagus. J Thorac Surg 34:1957

    Google Scholar 

  5. Nissen R (1961) Gastropexy and fundoplication in surgical treatment of hiatal hernia. Amer J Dig Dis 6:954–961

    Article  PubMed  CAS  Google Scholar 

  6. Tan S, Wulkan ML (2002) Minimally invasive surgical techniques in reoperative surgery for gastroesophageal reflux disease in infants and children. Am Surg 68:989–992

    PubMed  Google Scholar 

  7. Horvath KD, Swanstrom LL, Jobe BA (2000) The short esophagus: pathophysiology, incidence, presentation, and treatment in the era of laparoscopic antireflux surgery. Ann Surg 232:630–640

    Article  PubMed  CAS  Google Scholar 

  8. Vecchia LKD, Grosfeld JL, West KW, Rescorla FJ, Scherer LR, Engum SA (1997) Reoperation after Nissen fundoplication in children with gastroesophageal reflux. Experience with 130 patients. Ann Surg 226:315–323

    Article  PubMed  Google Scholar 

  9. Siewert JR, Isolauri J, Feussner H (1989) Reoperation following failed fundoplication. World J Surg 13:791–796

    Article  PubMed  CAS  Google Scholar 

  10. Johnson AB, Oddsdottir M, Hunter JG (1998) Laparoscopic Collis gastroplasty and Nissen fundoplication: a new technique for the management of esophageal foreshortening. Surg Endosc 12:1055–1060

    Article  PubMed  CAS  Google Scholar 

  11. Watson DI, Jamieson GG, Devitt PG, Mitchell PC, Game PA (1995) Paraoesophageal hiatus hernia: an important complication of laparoscopic Nissen fundoplication. Br J Surg 82:521–523

    Article  PubMed  CAS  Google Scholar 

  12. Adler RH (1990) Collis gastroplasty: origin and evolution. Ann Thorac Surg 50:839–842

    Article  PubMed  CAS  Google Scholar 

  13. Krupp S, Rosseti M (1966) Surgical treatment of hiatal hernia by fundoplication and gastropexy (Nissen repair). Ann Surg 164:927–934

    Article  PubMed  CAS  Google Scholar 

  14. Orringer MB, Sloan H (1978) Combined Collis–Nissen reconstruction of the esophagogastric junction. Ann Thorac Surg 25:16–21

    PubMed  CAS  Google Scholar 

  15. Stirling MC, Orringer MB (1989) Continued assessment of the combined Collis–Nissen operation. Ann Thorac Surg 47:224–230

    PubMed  CAS  Google Scholar 

  16. Cameron BH, Cochran WJ, McGill CW (1997) The uncut Collis–Nissen fundoplication: results for 79 consecutively treated high-risk children. J Pediatr Surg 32:887–891

    Article  PubMed  CAS  Google Scholar 

  17. Baker RS, Foote J, Kemmeter P, Brady R, Vroegop T, Serveld M (2004) The science of stapling and leaks. Obes Surg 14:1290–1298

    Article  PubMed  Google Scholar 

  18. Mansour KA, Burton HG, Miller JI, Hatcher CR (1981) Complications of intrathoracic Nissen fundoplication. Ann Thorac Surg 32:173–178

    Article  PubMed  CAS  Google Scholar 

  19. Martin CJ, Cox MR, Cade RJ (1992) Collis–Nissen gastroplasty fundoplication for complicated gastro-oesophageal reflux disease. Aust NZ J Surg 62:126–129

    CAS  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan

    Tsubasa Takahashi, Tadaharu Okazaki, Akihiro Shimotakahara, Geoffrey J. Lane & Atsuyuki Yamataka

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  1. Tsubasa Takahashi
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  2. Tadaharu Okazaki
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  3. Akihiro Shimotakahara
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  4. Geoffrey J. Lane
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  5. Atsuyuki Yamataka
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Correspondence to Atsuyuki Yamataka.

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Takahashi, T., Okazaki, T., Shimotakahara, A. et al. Collis–Nissen fundoplication using a computer-powered right angle linear cutting stapler in children. Pediatr Surg Int 25, 1021–1025 (2009). https://doi.org/10.1007/s00383-009-2455-2

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  • DOI: https://doi.org/10.1007/s00383-009-2455-2

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