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:
-
A.
Bougie dilatation.
-
B.
Antireflux procedure.
-
C.
Weight loss and cimetidine.
-
D.
Dilatation and antireflux procedure.
-
E.
Esophageal resection with colon interposition.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
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.
Lipshutz, W.H., Gaskins, R.D., Lukash, W.M., Sode, J.: Pathogenesis of lower-esophageal-sphincter incompetence. N. Engl. J. Med. 289: 182, 1973.
Battle, W.S., Nyhus, L.M., Bombeck, C.T.: Gastroesophageal reflux: Diagnosis and treatment. Ann. Surg. 177: 560, 1973.
Behar, J., Biancani, P., Sheahan, D.G.: Evaluation of esophageal tests in the diagnosis of reflux esophagitis. Gastroenterology 71: 9, 1976.
Bennett, J.R.: Medical management of gastro-oesophageal reflux. Clin. Gastroenterol. 5:175,1976.
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.
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.
Stanciu, C., Bennett J.R.: Metoclopramide in gastroesphageal reflux. Gut 14: 275, 1973.
Bushkin, F.L. Meustein, C.L., Parker, T.H., Woodward, E.R.: Nisson fundoplication for reflux peptic esophagitis. Ann. Surg. 185: 672, 1977.
Belsey, R.: Mark IV repair of hiatal hernia by the transthoracic approach. World J. Surg. 1:475, 1977.
Hill, L.D.: Progress in the surgical management of hiatal hernia. World J. Surg. 1: 425, 1977.
DeMeester, T.R., Johnson, L.F., Kent, A.H.: Evaluation of current operations for the prevention of gastroesophageal reflux. Ann. Surg. 180: 511, 1974.
Polk, H.C.: Fundoplication for reflux esophagitis: Misadventures with the operation of choice. Ann. Surg. 183: 645, 1976.
Saik, R.P., Greenburg, A.G., Peskin, G.W.: A study of fundoplication disruption and deformity. Am. J. Surg. 134: 19, 1977.
Skinner, D.B.: Complications of surgery for gastroesophageal reflux. World J. Surg. 1:485, 1977.
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.
Hill, L.D., Gelfand, M., Bauermeister, D.: Simplified management of reflux esophagitis with stricture. Ann. Surg. 172: 638, 1970.
Jarrett, F., Bernhardt, L.C.: Right-sided diaphragmatic injury: Rarity or overlooked diagnosis. Arch. Surg. 113: 737, 1978.
Hegarty, M.M., Bryer, J.V., Angorn, I.B., Baker, L.W.: Delayed presentation of traumatic diaphragmatic hernia. Ann. Surg. 188: 229, 1978.
Grimes, O.F.: Traumatic injuries of the diaphragm: Diaphragmatic hernia. Am. J. Surg. 128: 175, 1974.
Griswold, F.W., Warden, H.E., Gardner, R.J.: Acute diaphragmatic rupture caused by blunt trauma. Am. J. Surg. 124: 359, 1972.
Drews, J.A., Mercer, E.C., Benfield, J.R.: Acute diaphragmatic injury. Ann. Thorac. Surg. 16: 67, 1973.
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.
Hill, L.D., Tobias, J.A.: Paraesophageal hernia. Arch. Surg. 96: 735, 1968.
Hill, L.D.: Incarcerated paraesophageal hernia: A surgical emergency. Am. J. Surg. 126: 286, 1973.
Skinner, D.B., Betsey, R.H.R.: Surgical management of esophageal reflux and hiatus hernia. J. Thorac. Cardiovasc. Surg. 53: 33, 1967.
Cohen, S.: Motor disorders of the esophagus. N. Engl. J. Med. 301: 184, 1979.
Carter, R., Brewer, L.A.: Achalasia and esophageal carcinoma. Am. J. Surg. 130: 114, 1975.
Rees, J.R., Thorbjarnarson, B.: Achalasia: Results of operation in 84 patients. Ann. Surg. 171: 195, 1970.
Yon, J., Christensen, J.: An uncontrolled comparison of treatments for achalasia. Ann. Surg. 182: 672, 1975.
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.
Menguy, R.: Management of achalasia by transabdominal cardiomyotomy and fundoplication. Surg. Gynecol. Obstet. 133: 482, 1971.
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.
Piccone, V.A., LeVeen, H.H., Ahmed, N., Grosberg, S.: Reappraisal of esophagogastrectomy for esophageal malignancy. Am. J. Surg. 137: 32, 1979.
Parker, E.F., Gregorie, H.B.: Carcinoma of the esophagus: Long term results. J.A.M.A. 235: 1018, 1976.
Lowe, W.C.: Survival with carcinoma of the esophagus. Ann. Intern. Med. 77: 915, 1972.
Gallagher, E.G., Zumbro, G.L., Treasure, R.L.: Celestin tube intubation for advanced esophageal carcinoma. Am. J. Surg. 136: 405, 1978.
Ellis, F.H., Schlegel, J.F., Lynch, V.P., Payne, W.S.: Cricopharyngeal myotomy for pharyngo-esophageal diverticulum. Ann. Surg. 170: 340, 1969.
Welsh, G.F., Payne, W.S.: The present status of one stage pharyngoesophageal diverticulectomy. Surg. Clin. North Am. 53: 953, 1973.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1982 Springer Science+Business Media New York
About this chapter
Cite this chapter
Pickleman, J. (1982). Esophagus. In: Problems in General Surgery. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1755-6_1
Download citation
DOI: https://doi.org/10.1007/978-1-4757-1755-6_1
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4757-1757-0
Online ISBN: 978-1-4757-1755-6
eBook Packages: Springer Book Archive