Lengthening gastroplasty for managing gastroesophageal reflux disease and stricture

Abstract

A lengthening gastroplasty consists of the formation of a gastric tube by vertically stapling the proximal stomach from the angle of His parallel to the lesser gastric curvature. This procedure is designed to elongate the esophageal tube as part of surgical treatment of complicated cases of gastroesophageal reflux disease (GERD) in which the esophagus is irreversibly shortened, thus the gastroesophageal (GE) junction cannot be repositioned into the abdomen without excessive tension. © 2007 Springer-Verlag London Limited.