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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