1. Intrathoracic Periesophageal Fundoplication for Short Esophagus: A 20-Year Experience 
Francesco Volonté, MD, Jean-Marie Collard, MD, PhD, Louis Goncette, MD, Christian Gutschow, MD, Paolo Strignano, MD 
The Annals of Thoracic Surgery 
Volume 83, Issue 1, Pages (January 2007)
DOI: /j.athoracsur
Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

2. Fig 1
Operative activity over time, 1986 to Numbers in boxes indicate number of patients.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

3. Fig 2
Upper gastrointestinal series in two different patients with the gastroesophageal junction (white arrows) above the diaphragm (dotted lines), whereas the distal esophagus is not tortuous.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

4. Fig 3
Four intraoperative views: the white arrows indicate (A) the irreducible gastroesophageal junction, (B) the further enlargement of the hiatal sling, (C) the 3 to 4 cm intrathoracic fundoplication, and (D) the multiple anchoring sutures to the hiatal sling.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

5. Fig 4
Postoperative barium swallow study showing the intrathoracic fundoplication.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

6. Fig 5
Mean percent time esophageal pH greater than 4: preoperative (blank columns) and postoperative (black columns) esophageal pH results in the total (left), upright (center), and supine (right) periods of recording.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

7. Fig 6
Lower esophageal sphincter (LES) resting pressure before (left) and after (right) intrathoracic fundoplication. Horizontal lines indicate ± SD; black bars indicate ± SEM; white boxes indicate mean. (preop = preoperative; postop = postoperative.)
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

8. Fig 7
Percentage of patients who experienced spontaneous gastric perforation in our historical series of 16 fundoplications and in the present series of 84 fundoplications.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

9. Fig 8
Barium swallow studies before any antireflux operation, showing (left) a 5-cm irreducible hiatal hernia; and after laparoscopic fundoplication made in another institution, showing (right) intrathoracic migration of a perigastric wrap into the chest. White arrows show the irreducible gastroesophageal. A remedial intrathoracic fundoplication was done for heartburn and dysphagia. (Dashed lines = diaphragm.)
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions