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Original Articles: General Thoracic

Invited Commentary

General Thoracic Surgery, Virginia Mason Medical Center, 1100 Ninth Ave, Seattle, WA 98111

(Email: gtsdel@vmmc.org).

The first 20% of the full text of this article appears below.

The article by Houghton and colleagues [1] addresses an important question of whether using laparoscopic or open gastroplasty in patients with short esophagus has long-term symptoms and quality-of-life ramifications. This is a follow-up of the Mayo Clinic's initial presentation on the results of gastroplasty procedures, but is a much more comprehensive attempt to compare outcomes with patients undergoing standard antireflux procedures. Although a randomized trial or at least a prospective assessment of outcomes would have been optimal, the authors have gone to great lengths to produce two matched populations which have the major differences of an expected difference in hernia size in the . . . [Full Text of this Article]

Related Article

Combined Transabdominal Gastroplasty and Fundoplication for Shortened Esophagus: Impact on Reflux-Related and Overall Quality of Life

Scott G. Houghton, Claude Deschamps, Stephen D. Cassivi, Mark S. Allen, Francis C. Nichols, III, Sunni A. Barnes, and Peter C. Pairolero
Ann. Thorac. Surg. 2008 85: 1947-1952. [Abstract] [Full Text] [PDF]