Abstract
A short esophagus is a well-recognized risk factor for failure of an antireflux procedure, accounting for 20–43% of all surgical failures after this procedure. Literature shows that short esophagus may be present in 3–14% of patients undergoing primary antireflux surgery. The essential concept of SE is that adequate intra-abdominal esophageal length cannot be achieved even after maximal esophageal mobilization. Although this concept may seem straightforward, it is nonetheless controversial. Various surgical options for SE have been reported, including intrathoracic fundoplication, esophageal resection, and lengthening procedures, with Collis gastroplasty followed by fundoplication being the most common treatment.