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Ann Thorac Surg 1978;25:16-21
© 1978 The Society of Thoracic Surgeons

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Articles

Combined Collis-Nissen Reconstruction of the Esophagogastric Junction

Department of Surgery, Section of Thoracic Surgery, The University of Michigan Medical Center, Ann Arbor, MI.

Accepted for publication May 18, 1977.

^* Address reprint requests to Dr. Orringer, C7175 University Hospital, Ann Arbor, MI 48109

Recent reports have indicated that combined Collis-Belsey reconstruction of the esophagogastric junction fails to control reflux in 30 to 46% of patients undergoing the procedure. The major factor thought to be responsible for this result is the limited Belsey fundoplication possible after construction of the gastroplasty tube. This report describes our technique of combining the Collis gastroplasty with a 360-degree Nissen type fundoplication. The radiographic and manometric characteristics of the distal esophageal high-pressure zone produced by the Collis-Nissen operation are discussed.

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