Open Gastroplasty

F. Griffith Pearson, Sean C. Grondin

Key Points

  • Gastroplasty is an esophageal lengthening technique that reduces tension on an antireflux repair in patients with “short esophagus.”
  • Diagnosis of short esophagus is made from information gained through barium esophagography, esophagoscopy, manometry, and intraoperative findings.
  • Removal of the gastroesophageal “fat pad” follows the technique used during highly selective vagotomy.
  • A gastric tube of 4 to 5 cm of uniform diameter (48 Fr) is created with a linear cutting stapler.

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Last updated: October 25, 2022