A NOVEL METHOD OF ESOPHAGEAL LENGTHENING IN A PATIENT WITH SHORT ESOPHAGUS DURING TYPE III HIATAL HERNIA REPAIR
Min P. Kim*, Edward Y. Chan, Ray K. Chihara
Houston Methodist Hospital, Houston, TX
72-year-old female presents with a large type III hiatal hernia and gastric volvulus. The patient underwent robot-assisted type III hiatal hernia repair with Toupet fundoplication. The patient had a short esophagus after mobilization of the hiatal hernia sac. We performed a novel method of esophageal lengthening by circumferential resection of the fibrotic tissue around the esophagus. This dissection led to a lengthening of the esophagus and allowed about 3 cm of the esophagus below the diaphragm. We completed crual closure and Toupet fundoplication. The short esophagus can be treated with circumferential resection of fibrotic tissue around the lower esophagus.
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