The existence, diagnosis and treatment of short esophagus is one of the controversies of the
past which has recently re-emerged. The missed diagnosis of short esophagus and the
consequent inadequacy of treatment is one of the major causes of failure of antireflux
The daily clinical practice of surgeons dedicated to therapy of esophageal diseases could
take advantage of the definition of frequency, preoperative predictors, intraoperative
management and post operative outcomes of cases of foreshortened esophagus, in order to offer
the patient affected by GERD the elements necessary for a conscious choice of therapy and to
plan the best performance of the surgical procedure.
Aims of the Study To define the percentage of cases among the total of antireflux procedures
performed for type II-IV hiatus hernia, in which, after standard isolation of the ge junction
and dissection of the mediastinal esophagus at least two centimetres of esophagus can not be
replaced without any applied tension below the apex of the diaphragmatic hiatus.