Preoperative Predictability of the Short Esophagus: Endoscopic Criteria

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2008 Sep 25

PMID 18813983

Citations 3

Authors

Fumiaki Yano

Rudolf J Stadlhuber

Kazuto Tsuboi

Nitin Garg

Charles J Filipi

Sumeet K Mittal

Affiliations

Soon will be listed here.

Abstract

Background: Short esophagus is a common cause of failure of antireflux surgery. Minimally invasive intervention for short esophagus is technically difficult. Reliable predictors of short esophagus would allow appropriate referral and better outcomes. The aim of this study is to investigate the preoperative predictability of the short esophagus in patients undergoing antireflux surgery.

Methods: Eighty-five patients with Collis gastroplasty and antireflux surgery (1994-2007) at a single institution form group A. Control group (B) comprises 205 consecutive patients undergoing primary antireflux surgery (2004-2007). Retrospective review of prospectively collected data was completed. Esophageal length index (ELI) was calculated as the ratio of endoscopic esophageal length (in cm) to height (in meters).

Results: Patients requiring Collis gastroplasty (group A) tend to be older while there were no significant differences in sex, height, weight, and body mass index distribution between groups. Mean endoscopic esophageal length (EEL) as measured from incisor to esophagogastric junction was significantly shorter in group A (32.4 cm) as compared with group B (36.2c m) (p < 0.0001). Esophageal length index (ELI) of less than 19.5 had 83% negative predictive value with 95% specificity.

Conclusions: Patients with an ELI of less than 19.5 or with stricture have higher risk for having a short esophagus.

Citing Articles

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Tsuboi K, Omura N, Yano F, Hoshino M, Yamamoto S, Akimoto S Surg Today. 2014; 45(2):253-7.

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