# Laparoscopic Collis-Nissen Procedure in a Patient With Type IV Hiatal Hernia: Relevance of a Short Esophagus

## TL;DR

This paper discusses a case where a short esophagus was found during surgery for a hiatal hernia and treated with a Collis-Nissen procedure.

## Contribution

The case highlights the relevance of diagnosing and addressing a short esophagus during antireflux surgery.

## Key findings

- A short esophagus was identified during surgery in a patient with a type IV hiatal hernia.
- The patient underwent a Collis gastroplasty and was discharged without complications.

## Abstract

A short esophagus is generally diagnosed during antireflux surgery and is defined as a distance of less than 2 cm between the gastroesophageal junction and the apex of the hiatus. We present a female patient with a CT diagnosis of type IV hiatal hernia who was scheduled for antireflux surgery, showed a short esophagus during the procedure, opted to perform Collis gastroplasty, and discharged without complications. A short esophagus remains a controversial topic. Some authors argue that it is more common than suspected and responsible for high recurrences in specific patient groups.