Hiatal hernia repair with a frontal placation and a possible Collis Gastroplasty. The patient presented with a giant paraesophogeal hernia. He had the typical symptoms of heartburn and regurgitation. Manometry did show that he had good esophageal reserve, with no evidence of an effect to his esophageal motility, and upper GI did show that most of his stomach was intra-thoracic. We (Cedars-Sinai) tend to do more Collis Gastroplasties than most other institutions, so there is a high likelihood that this patient will get a Collis Gastroplasty. It’s usually an intra-operative decision; however, most patients that present with a 5cm or larger tumor typically end up getting a Collis Gastroplasty.
Robotic Repair of Giant Paraesophageal Hernia by Daniel Shouhed, MD | Case Trailer physicians formula foundation
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Hiatal hernia repair with a frontal placation and a possible Collis Gastroplasty. The patient presented with a giant paraesophogeal hernia. He had the typical symptoms of heartburn and regurgitation. Manometry did show that he had good esophageal reserve, with no evidence of an effect to his esophageal motility, and upper GI did show that most of his stomach was intra-thoracic. We (Cedars-Sinai) tend to do more Collis Gastroplasties than most other institutions, so there is a high likelihood that this patient will get a Collis Gastroplasty. It’s usually an intra-operative decision; however, most patients that present with a 5cm or larger tumor typically end up getting a Collis Gastroplasty.
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