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September 1974

Transthoracic Fundoplication for Short Esophagus in Children

Author Affiliations

From the Department of Surgery, University of Florida College of Medicine, and Shands Teaching Hospital, Gainesville, Fla. Dr. Seashore is now with the Department of Surgery, Yale University School of Medicine, New Haven, Conn.

Arch Surg. 1974;109(3):374-377. doi:10.1001/archsurg.1974.01360030026007

The foreshortened, strictured esophagus resulting from chronic gastroesophageal reflux presents a therapeutic challenge. The fundic patch procedure, combined with fundoplication, may be uniquely suited to this problem since the fundoplication is effective even in the thorax. The first child reported to have an intrathoracic fundoplication continues to have a good result seven years later. Two other children have had effective treatment by the combined Thal-Nissen procedure. Further clinical trials with this operation in children appear to be warranted.