{"id":6515,"date":"2026-07-14T09:27:01","date_gmt":"2026-07-14T12:27:01","guid":{"rendered":"https:\/\/revistaabcd.org.br\/?p=6515"},"modified":"2026-07-14T09:27:01","modified_gmt":"2026-07-14T12:27:01","slug":"three-dimensional-computed-tomography-reconstruction-of-the-gastroesophageal-junction-following-hiatal-hernia-repair-with-collis-gastroplasty-and-fundoplication-a-novel-method-to-demonstrate-postoper","status":"publish","type":"post","link":"https:\/\/revistaabcd.org.br\/pt-br\/three-dimensional-computed-tomography-reconstruction-of-the-gastroesophageal-junction-following-hiatal-hernia-repair-with-collis-gastroplasty-and-fundoplication-a-novel-method-to-demonstrate-postoper\/","title":{"rendered":"Three-dimensional computed tomography reconstruction of the gastroesophageal junction following hiatal hernia repair with Collis gastroplasty and fundoplication: a novel method to demonstrate postoperative morphology and better understand hiatal hernia recurrence"},"content":{"rendered":"<h2><strong>Background:<\/strong><\/h2>\n<p>Collis gastroplasty for esophageal lengthening is a complex adjunct to hiatal hernia repair in patients with esophageal foreshortening.<\/p>\n<h2><strong>Aims:<\/strong><\/h2>\n<p>To study the final morphology of the repair using state-of-the-art imaging: computed tomography with three-dimensional reconstruction.<\/p>\n<h2><strong>Methods:<\/strong><\/h2>\n<p>Nine patients with prior Collis gastroplasty and hiatal hernia repair were studied with three-dimensional computed tomography reconstruction to evaluate the anatomy of the repair and screen for hiatal hernia recurrence. Secondary outcomes were quality of life and surgical morbidity.<\/p>\n<h2><strong>Results:<\/strong><\/h2>\n<p>After a medium follow-up of 34 months, objective recurrence of the hiatal hernia was observed in three patients (1.5, 2.2, and 3 cm), and two patients were symptomatic. The gastroesophageal junction tube (neo-esophagus) created by the gastroplasty was similar in shape and volume to the native esophagus in all patients. The fundoplication previously performed covered the neo-esophagus in only two of the nine patients. No fistulas or mortality were observed.<\/p>\n<h2><strong>Conclusions:<\/strong><\/h2>\n<p>Three-dimensional computed tomography reconstruction of the gastroesophageal junction following hiatal hernia repair with Collis gastroplasty and fundoplication reliably demonstrates postoperative anatomy and helps better understand hiatal hernia recurrence.<\/p>","protected":false},"excerpt":{"rendered":"<p>Background: Collis gastroplasty for esophageal lengthening is a complex adjunct to hiatal hernia repair in patients with esophageal foreshortening. Aims: To study the final morphology of the repair using state-of-the-art imaging: computed tomography with three-dimensional reconstruction. Methods: Nine patients with prior Collis gastroplasty and hiatal hernia repair were studied with three-dimensional computed tomography reconstruction to [&hellip;]<\/p>","protected":false},"author":15,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[9],"tags":[269,1528,605,77,1125,635],"class_list":["post-6515","post","type-post","status-publish","format-standard","hentry","category-original-article","tag-fundoplication","tag-gastroesophageal-junction","tag-gastroplasty","tag-hernia","tag-hiatal","tag-tomography"],"acf":[],"modified_by":"laerthy","_links":{"self":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/6515","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/comments?post=6515"}],"version-history":[{"count":2,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/6515\/revisions"}],"predecessor-version":[{"id":6519,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/6515\/revisions\/6519"}],"wp:attachment":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/media?parent=6515"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/categories?post=6515"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/tags?post=6515"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}