Center for Minimally Invasive Esophageal Therapies
The Center for Minimally Invasive Esophageal Therapies at Boston Medical Center provides compassionate care to you and your family using the most advanced and effective medical treatment in New England. Our team of diagnosticians, surgeons, physician assistants, nurse practitioners, and surgical nurses collaborate to treat your esophageal condition in our state-of-the-art facilities. We perform innovative procedures such as collis gastroplasty, and help guide you on the path to recovery in the most comfortable way possible.
Collis gastroplasty is a technique for lengthening a "shortened" esophagus, a condition that often results from gastroesophageal reflux disease (GERD). The stomach acid that flows back into the esophagus in GERD causes tissue changes, inflammation and scarring that can sometimes shorten the esophageal size. In collis gastroplasty, part of your stomach is used to lengthen your esophagus. This lengthening may prevent GERD complications and decrease the risk associated with future reflux-related procedures.
How to Prepare
Before recommending collis gastroplasty, your physician will meet with you, take a medical history and perform a physical examination. He or she will review any imaging tests and order additional tests, if necessary. You may come in for a pre-admission visit to take care of these items and complete paperwork. Please bring with you a list of allergies and the names and dosages of any medications, supplements or herbs you take, and leave valuables at home. Your physician will provide you with any other specific instructions; it is important to follow them carefully.
Collis gastroplasty may be performed using open surgery or laparoscopic methods, which use small incisions. We will work with you to make the best and most appropriate treatment decision while minimizing invasiveness. If you are going to have general anesthesia, your pre-admission visit will include a consultation with the anesthesiologist. Inform the anesthesiologist if you have ever had a bad reaction to anesthesia. You will need to arrange for a ride home following the procedure.
What to Expect
A nurse or technician will start an intravenous (IV) line in one of your veins to give you medication and fluids. Your surgeon will make an incision in your side/chest area, and then another one into your upper stomach, dividing it into two parts. Your surgeon will form one part into a tube shape as a continuation of the esophagus, and stitch the other part so that it remains part of your stomach. A portion of your stomach is usually wrapped around this new esophagus to reestablish a valve to prevent reflux. Your surgeon will then put the re-stitched stomach back in place. Afterward, food and drink will pass through this new, elongated esophagus on its way to your stomach.
After your procedure, you will rest in the recovery room for a few hours and then you will be taken to your patient room and monitored until your departure. We recommend avoiding strenuous activity for a few days. You will have a follow-up appointment in the coming weeks. Call us if you notice any redness, swelling or pain around the incisions, or have any other concerns.