RT Book, Section
A1 Lebenthal, Abraham
A1 Bueno, Raphael
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Burt, Bryan M.
A2 Groth, Shawn S.
A2 Loor, Gabriel
A2 Wolf, Andrea S.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1170407960
T1 Management of Shortened Esophagus
T2 Sugarbaker’s Adult Chest Surgery, 3e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260026931
LK accesssurgery.mhmedical.com/content.aspx?aid=1170407960
RD 2024/04/25
AB For  many  years,  there  has  been  a  controversy  in  the  surgical  literature  regarding  the  existence  or  relevance  of  the  short  esophagus  to  gastroesophageal  reflux  disease  (GERD)  and  antireflux  surgery.1–5  A  center  that  performs  a  high  volume  of  antireflux  procedures  reported  the  prevalence  to  be  approximately  14%  in  patients  presenting  for  surgical  treatment  of  GERD  or  paraesophageal  hernia.2  The  normal  esophagus  is  39  to  41  cm  from  the  incisors  and  has  an  abdominal  component  approximately  2  to  3  cm  in  length.  In  patients  with  short  esophagus,  the  abdominal  component  is  less  than  2.5  cm,  and  often  there  is  no  intraabdominal  esophagus  visible.  A  battery  of  preoperative  tests  and  intraoperative  findings  enable  the  surgeon  to  recognize  the  short  esophagus.