Abstract
The esophagus can be divided into three anatomic parts, i.e., the cervical, thoracic, and abdominal esophagus. The esophageal wall consists of three layers: the mucosa, the submucosa, and the muscle layer, which is composed of an inner circular and an outer longitudinal layer. The lymphatic drainage is not segmental: lymph can flow for a long distance in the plexus before crossing the muscular layer and reaching the paraesophageal lymph nodes.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Liebermann-Meffert D, Allgöwer M, Schmid P, Blum AL. Muscular equivalent of the lower esophageal sphincter. Gastroenterology. 1979;76(1):31–8.
Akiyama H, Tsurumaru M, Kawamura T, Ono Y. Principles of surgical treatment for carcinoma of the esophagus: analysis of lymph node involvement. Ann Surg. 1981;194(4):438–46.
Orringer MB, Bluett M, Deeb GM. Aggressive treatment of chylothorax complicating transhiatal esophagectomy without thoracotomy. Surgery. 1988;104(4):720–6.
Cuschieri A. Endoscopic vagotomy for duodenal ulcer disease: procedures and appraisal. Adv Surg. 1996;29:291–302.
Collard JM, Lengele B, Otte JB, Kestens PJ. En bloc and standard esophagectomies by thoracoscopy. Ann Thorac Surg. 1993;56(3):675–9.
Pellegrini C, Wetter LA, Patti M, Leichter R, Mussan G, Mori T, Bernstein G, Way L. Thoracoscopic esophagomyotomy. Initial experience with a new approach for the treatment of achalasia. Ann Surg. 1992;216(3):291–6.
Patti MG. Minimally invasive esophageal procedures. In: Souba WW, Fink MP, Jurkovich GJ, Kaiser LR, Pearce WH, Pemberton JH, Soper N, editors. ACS surgery. Principles & practice. 6th ed. New York: WebMD Professional Pub; 2007.
Skandalakis LJ, Donahue PE, Skandalakis JE. The vagus nerve and its vagaries. Surg Clin North Am. 1993;73(4):769–84.
Bonavina L, Evander A, DeMeester TR, Walther B, Cheng SC, Palazzo L, Concannon JL. Length of the distal esophageal sphincter and competency of the cardia. Am J Surg. 1986;151(1):25–34.
Zaninotto G, DeMeester TR, Schwizer W, Johansson KE, Cheng SC. The lower esophageal sphincter in health and disease. Am J Surg. 1988;155:104–11.
Stein HJ, DeMeester TR, Naspetti R, Jamieson J, Perry RE. Three-dimensional imaging of the lower esophageal sphincter in gastroesophageal reflux disease. Ann Surg. 1991;214(4):374–83.
Aggestrup S, Uddman R, Sundler F, Fahrenkrug J, Håkanson R, Sørensen HR, Hambraeus G. Lack of vasoactive intestinal polypeptide nerves in esophageal achalasia. Gastroenterology. 1983;84:924–7.
Dent J, Dodds WJ, Sekiguchi T, Hogan WJ, Arndorfer RC. Interdigestive phasic contractions of the human lower esophageal sphincter. Gastroenterology. 1983;84(3):453–60.
Holloway RH, Kocyan P, Dent J. Provocation of transient lower esophageal sphincter relaxations by meals in patients with symptomatic gastroesophageal reflux. Dig Dis Sci. 1991;36(8):1034–9.
Patti MG, Goldberg HI, Arcerito M, Bortolasi L, Tong J, Way LW. Hiatal hernia size affects lower esophageal sphincter function, esophageal acid exposure, and the degree of mucosal injury. Am J Surg. 1996;171:182–6.
Conflict of Interest
The authors have no conflicts of interest to declare.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag London
About this chapter
Cite this chapter
Allaix, M.E., Patti, M.G. (2014). Esophageal Anatomy and Physiology for the Surgeon. In: Fisichella, P., Soper, N., Pellegrini, C., Patti, M. (eds) Surgical Management of Benign Esophageal Disorders. Springer, London. https://doi.org/10.1007/978-1-4471-5484-6_1
Download citation
DOI: https://doi.org/10.1007/978-1-4471-5484-6_1
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-5483-9
Online ISBN: 978-1-4471-5484-6
eBook Packages: MedicineMedicine (R0)