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surgical intervention video

We present a Collis lengthening procedure followed by a Nissen fundoplication for a patient with severe gastroesophageal reflux disease (GERD) and sliding hiatal hernia with shortened esophagus. Intraoperative endoscopy shows the Z line at the level of the mediastinum, giving the indication for an esophageal lengthening procedure. The hiatal repair is reinforced by means of an absorbable mesh placement. 

HOW TO: Collis lengthening procedure for shortened esophagus