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Abstract

A 46-year-old woman has had persistent heartburn and a feeling of acid regurgitation for 6 years, only partially controlled by antacids. She gives a 3-month history of progressive dysphagia and a feeling of food sticking in her throat substernally. An upper GI tract X ray series is performed and is shown as Figures 1–1 and 1–2. Esophagoscopy reveals a stricture in the distal esophagus; biopsy discloses only inflammatory tissue. Treatment should consist of:

  1. A.

    Bougie dilatation.

  2. B.

    Antireflux procedure.

  3. C.

    Weight loss and cimetidine.

  4. D.

    Dilatation and antireflux procedure.

  5. E.

    Esophageal resection with colon interposition.

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References

  1. Pellegrini, C.A., DeMeester, T.R., Johnson, L.F., Skinner, D.B.: Gastroesophageal reflux and pulmonary aspiration: Incidence, functional abnormality, and results of surgical therapy. Surgery 86: 110, 1979.

    PubMed  CAS  Google Scholar 

  2. Lipshutz, W.H., Gaskins, R.D., Lukash, W.M., Sode, J.: Pathogenesis of lower-esophageal-sphincter incompetence. N. Engl. J. Med. 289: 182, 1973.

    Article  PubMed  CAS  Google Scholar 

  3. Battle, W.S., Nyhus, L.M., Bombeck, C.T.: Gastroesophageal reflux: Diagnosis and treatment. Ann. Surg. 177: 560, 1973.

    Article  PubMed  CAS  Google Scholar 

  4. Behar, J., Biancani, P., Sheahan, D.G.: Evaluation of esophageal tests in the diagnosis of reflux esophagitis. Gastroenterology 71: 9, 1976.

    CAS  Google Scholar 

  5. Bennett, J.R.: Medical management of gastro-oesophageal reflux. Clin. Gastroenterol. 5:175,1976.

    Google Scholar 

  6. Farrell, R.L., Roling, G.T., Castell, D.O.: Stimulation of the incompetent lower esophageal sphincter: A possible advance in therapy of heartburn. Digestive Diseases 18: 646, 1973.

    Article  CAS  Google Scholar 

  7. McCallum, R.W., Ippoliti, A.F., Cooney, C., Sturdevant, R.A.L.: A controlled trial of metoclopramide in symptomatic gastroesophageal reflux. N. Engl. J. Med. 296: 354, 1977.

    Article  PubMed  CAS  Google Scholar 

  8. Stanciu, C., Bennett J.R.: Metoclopramide in gastroesphageal reflux. Gut 14: 275, 1973.

    Article  PubMed  CAS  Google Scholar 

  9. Bushkin, F.L. Meustein, C.L., Parker, T.H., Woodward, E.R.: Nisson fundoplication for reflux peptic esophagitis. Ann. Surg. 185: 672, 1977.

    Article  PubMed  CAS  Google Scholar 

  10. Belsey, R.: Mark IV repair of hiatal hernia by the transthoracic approach. World J. Surg. 1:475, 1977.

    Google Scholar 

  11. Hill, L.D.: Progress in the surgical management of hiatal hernia. World J. Surg. 1: 425, 1977.

    Article  PubMed  CAS  Google Scholar 

  12. DeMeester, T.R., Johnson, L.F., Kent, A.H.: Evaluation of current operations for the prevention of gastroesophageal reflux. Ann. Surg. 180: 511, 1974.

    Article  PubMed  CAS  Google Scholar 

  13. Polk, H.C.: Fundoplication for reflux esophagitis: Misadventures with the operation of choice. Ann. Surg. 183: 645, 1976.

    Article  PubMed  Google Scholar 

  14. Saik, R.P., Greenburg, A.G., Peskin, G.W.: A study of fundoplication disruption and deformity. Am. J. Surg. 134: 19, 1977.

    Article  PubMed  CAS  Google Scholar 

  15. Skinner, D.B.: Complications of surgery for gastroesophageal reflux. World J. Surg. 1:485, 1977.

    Google Scholar 

  16. Herrington, J.L., Wright, R.S., Edwards, W.H., Sawyers, J.L.: Conservative surgical treatment of reflux esophagitis and esophageal stricture. Ann. Surg. 181: 552, 1975.

    Article  PubMed  Google Scholar 

  17. Hill, L.D., Gelfand, M., Bauermeister, D.: Simplified management of reflux esophagitis with stricture. Ann. Surg. 172: 638, 1970.

    Article  PubMed  CAS  Google Scholar 

  18. Jarrett, F., Bernhardt, L.C.: Right-sided diaphragmatic injury: Rarity or overlooked diagnosis. Arch. Surg. 113: 737, 1978.

    Article  PubMed  CAS  Google Scholar 

  19. Hegarty, M.M., Bryer, J.V., Angorn, I.B., Baker, L.W.: Delayed presentation of traumatic diaphragmatic hernia. Ann. Surg. 188: 229, 1978.

    Article  PubMed  CAS  Google Scholar 

  20. Grimes, O.F.: Traumatic injuries of the diaphragm: Diaphragmatic hernia. Am. J. Surg. 128: 175, 1974.

    Article  PubMed  CAS  Google Scholar 

  21. Griswold, F.W., Warden, H.E., Gardner, R.J.: Acute diaphragmatic rupture caused by blunt trauma. Am. J. Surg. 124: 359, 1972.

    Article  PubMed  CAS  Google Scholar 

  22. Drews, J.A., Mercer, E.C., Benfield, J.R.: Acute diaphragmatic injury. Ann. Thorac. Surg. 16: 67, 1973.

    Article  PubMed  CAS  Google Scholar 

  23. Wichterman, K., Geha, A.S., Cahow, E., Baue, A.E.: Giant paraesophageal hiatus hernia with intrathoracic stomach and colon: The case for early repair. Surgery 86: 497, 1979.

    PubMed  CAS  Google Scholar 

  24. Hill, L.D., Tobias, J.A.: Paraesophageal hernia. Arch. Surg. 96: 735, 1968.

    Article  PubMed  CAS  Google Scholar 

  25. Hill, L.D.: Incarcerated paraesophageal hernia: A surgical emergency. Am. J. Surg. 126: 286, 1973.

    Article  PubMed  CAS  Google Scholar 

  26. Skinner, D.B., Betsey, R.H.R.: Surgical management of esophageal reflux and hiatus hernia. J. Thorac. Cardiovasc. Surg. 53: 33, 1967.

    PubMed  CAS  Google Scholar 

  27. Cohen, S.: Motor disorders of the esophagus. N. Engl. J. Med. 301: 184, 1979.

    Article  PubMed  CAS  Google Scholar 

  28. Carter, R., Brewer, L.A.: Achalasia and esophageal carcinoma. Am. J. Surg. 130: 114, 1975.

    Article  PubMed  CAS  Google Scholar 

  29. Rees, J.R., Thorbjarnarson, B.: Achalasia: Results of operation in 84 patients. Ann. Surg. 171: 195, 1970.

    Article  PubMed  CAS  Google Scholar 

  30. Yon, J., Christensen, J.: An uncontrolled comparison of treatments for achalasia. Ann. Surg. 182: 672, 1975.

    Article  PubMed  CAS  Google Scholar 

  31. Hatafuku, T., Maki, T., Thal, A.P.: Fundic patch operation in the treatment of advanced achalasia of the esophagus. Surg. Gynecol. Obstet. 134: 617, 1972.

    PubMed  CAS  Google Scholar 

  32. Menguy, R.: Management of achalasia by transabdominal cardiomyotomy and fundoplication. Surg. Gynecol. Obstet. 133: 482, 1971.

    PubMed  CAS  Google Scholar 

  33. Peyton, M.D., Greenfield, L.J., Elkins, R.C.: Combined myotomy and hiatal herniorrhaphy: A new approach to achalasia. Am. J. Surg. 128: 786, 1974.

    Article  PubMed  CAS  Google Scholar 

  34. Piccone, V.A., LeVeen, H.H., Ahmed, N., Grosberg, S.: Reappraisal of esophagogastrectomy for esophageal malignancy. Am. J. Surg. 137: 32, 1979.

    Article  PubMed  CAS  Google Scholar 

  35. Parker, E.F., Gregorie, H.B.: Carcinoma of the esophagus: Long term results. J.A.M.A. 235: 1018, 1976.

    Article  PubMed  CAS  Google Scholar 

  36. Lowe, W.C.: Survival with carcinoma of the esophagus. Ann. Intern. Med. 77: 915, 1972.

    Article  PubMed  CAS  Google Scholar 

  37. Gallagher, E.G., Zumbro, G.L., Treasure, R.L.: Celestin tube intubation for advanced esophageal carcinoma. Am. J. Surg. 136: 405, 1978.

    Article  PubMed  Google Scholar 

  38. Ellis, F.H., Schlegel, J.F., Lynch, V.P., Payne, W.S.: Cricopharyngeal myotomy for pharyngo-esophageal diverticulum. Ann. Surg. 170: 340, 1969.

    Article  PubMed  Google Scholar 

  39. Welsh, G.F., Payne, W.S.: The present status of one stage pharyngoesophageal diverticulectomy. Surg. Clin. North Am. 53: 953, 1973.

    PubMed  CAS  Google Scholar 

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© 1982 Springer Science+Business Media New York

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Pickleman, J. (1982). Esophagus. In: Problems in General Surgery. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1755-6_1

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  • DOI: https://doi.org/10.1007/978-1-4757-1755-6_1

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-1757-0

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