Skip to main content

Esophagus

  • Chapter
Surgery
  • 781 Accesses

Abstract

The esophagus is a muscular tube lined with nonkeratinizing squamous epithelium that starts as a continuation of the pharynx and ends as the cardia of the stomach. The esophagus is fixed only at its upper and lower ends, the upper end being firmly attached to the cricoid cartilage and the lower end to the diaphragm. This lack of fixation throughout its length allows the esophagus both transverse and longitudinal mobility. This mobility is important in normal esophageal function, as well as pathological states that can easily displace the esophagus or require extensive surgical mobilization for correction.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. DeMeester TR, Stein HJ, Fuchs KH. Physiologic diagnostic studies. In: Zuidema GD, Orringer MB, eds. Shackelford’s Surgery of the Alimentary Tract, Vol. I. Philadelphia: Saunders, 1991: 94–126.

    Google Scholar 

  2. Csendes A, Smok G, Braghetto I, et al. Gastroesophageal sphincter pressure and histological changes in distal esophagus in patients with achalasia of the esophagus. Dig Dis Sci 1985; 30: 941–945.

    PubMed  CAS  Google Scholar 

  3. Goldblum JR, Whyte RI, Orringer MB, et al. Achalasia. A morphologic study of 42 resected specimens. Am J Surg Pathol 1994; 18: 327–337.

    PubMed  CAS  Google Scholar 

  4. Goldblum JR, Rice TW, Richter JE. Histopathologic features in esophagomyotomy specimens from patients with achalasia. Gastroenterology 1996; 111: 648–654.

    PubMed  CAS  Google Scholar 

  5. Cassella RR, Ellis FH, Brown AL. Fine-structure changes in achalasia of the esophagus. I. Vagus nerves. Am J Pathol 1965; 46: 279.

    PubMed  CAS  Google Scholar 

  6. Aggestrup S, Uddman R, Sundler F, et al. Lack of vasoactive intestinal polypeptide nerves in esophageal achalasia. Gastroenterology 1983; 84: 924–927.

    PubMed  CAS  Google Scholar 

  7. Behar J, Biancani P. Effect of cholecystokinin-octapeptide on lower esophageal sphincter. Gastroenterology 1977; 73: 57–61.

    PubMed  CAS  Google Scholar 

  8. Dodds WJ, Dent J, Hogan WJ, et al. Effect of atropine on esophageal motor function in humans. Am J Physiol 1981; 240: G290 - G296.

    PubMed  CAS  Google Scholar 

  9. Guelrud M, Rossiter A, Souney PF, et al. The effect of vasoactive intestinal polypeptide on the lower esophageal sphincter in achalasia. Gastroenterology 1992; 103: 377–382.

    PubMed  CAS  Google Scholar 

  10. Mayberry JF, Atkinson M. Studies of incidence and prevalence of achalasia in the Nottingham area. Q J Med 1985; 56: 451–456.

    PubMed  CAS  Google Scholar 

  11. Mayberry JF, Probert CS, Sher KS, et al. Some epidemiological and aetiological aspects of achalasia. Dig Dis 1991; 9: 1–8.

    PubMed  CAS  Google Scholar 

  12. Nihoul-Fekete C, Bawab F, Lortat-Jacob S, et al. Achalasia of the esophagus in childhood. Surgical treatment in 35 cases, with special reference to familial cases and glucocorticoid deficiency association. Hepatogastroenterology 1991; 38: 510–513.

    PubMed  CAS  Google Scholar 

  13. Chawla K, Chawla SK, Alexander LL. Familiar achalasia of the esophagus in mother and son: a possible pathogenetic relationship. J Am Geriatr Soc 1979; 27: 519–521.

    PubMed  CAS  Google Scholar 

  14. Streitz TM Jr, Ellis FH Jr, Gibb SP, et al. Achalasia and squamous cell carcinoma of the esophagus: analysis of 241 patients. Ann Thorac Surg 1995; 59: 1604–1609.

    PubMed  Google Scholar 

  15. Meijssen MA, Tilanus HW, van Blankenstein M, et al. Achalasia complicated by oesophageal squamous cell carcinoma: a prospective study in 195 patients. Gut 1992; 33: 155–158.

    PubMed  CAS  Google Scholar 

  16. Crookes PF, Corkill S, DeMeester TR. Gastroesophageal reflux in achalasia. When is reflux really reflux? Dig Dis Sci 1997; 42: 1354–1361

    PubMed  CAS  Google Scholar 

  17. Birgisson S, Richter JE. Achalasia: what’s new in diagnosis and treatment? Dig Dis 1997; 15: 1–27.

    PubMed  Google Scholar 

  18. Ferguson MK. Achalasia: current evaluation and therapy. Ann Thorac Surg 1991; 52: 336–342.

    PubMed  CAS  Google Scholar 

  19. Schima W, Stacher G, Pokieser P, et al. Esophageal motor disorders: videofluoroscopic and manometric evaluation-prospective study in 88 symptomatic patients. Radiology 1992; 185: 487–491.

    PubMed  CAS  Google Scholar 

  20. Tracey JP, Traube M. Difficulties in the diagnosis of pseudoachalasia. Am J Gastroenterol 1994; 89: 2014–2018.

    PubMed  CAS  Google Scholar 

  21. Rozman RW Jr, Achkar E. Features distinguishing secondary achalasia from primary achalasia. Am J Gastroenterol 1990; 85: 1327–1330.

    PubMed  Google Scholar 

  22. Campos CT, Ellis FH Jr, LoCicero J III. Pseudoachalasia: a report of two cases with comments on possible causes and diagnosis. Dis Esophagus 1997; 10: 220–224.

    PubMed  CAS  Google Scholar 

  23. Goldenberg SP, Burrell M, Fette GG, et al. Classic and vigorous achalasia: a comparison of manometric, radiographic, and clinical findings. Gastroenterology 1991; 101: 743–748.

    PubMed  CAS  Google Scholar 

  24. Couturier D, Samama J. Clinical aspects and manometric criteria in achalasia. Hepatogastroenterology 1991; 38: 481–487.

    PubMed  CAS  Google Scholar 

  25. Marshall JB, Bodnarchuk G, Singh A. Supine and upright radionuclide esophageal transit before and after treatment for achalasia. Clin Nuclear Med 1994; 19: 683–686.

    CAS  Google Scholar 

  26. Stacher G, Schima W, Bergmann H, et al. Sensitivity of radionuclide bolus transport and videofluoroscopic studies corn-pared with manometry in the detection of achalasia. Am J Gastroenterol 1994; 89: 1484–1488.

    PubMed  CAS  Google Scholar 

  27. Bortolotti M, Labo G. Clinical and manometric effects of nif edipine in patients with esophageal achalasia. Gastroenterology 1981; 30: 39–44.

    Google Scholar 

  28. Bortolotti M, Coccia G, Brunelli F, et al. Isosorbide dinitrate or nifedipine: which is preferable in the medical therapy of achalasia? Ital J Gastroenterol 1994; 26: 379–382.

    PubMed  CAS  Google Scholar 

  29. Ferreira-Filho LP, Patto RJ, Troncon LE, et al. Use of isosorbide dinitrate for the symptomatic treatment of patients with Chagas’ disease achalasia. A double-blind, crossover trial. Braz J Med Biol Res 1991; 24: 1093–1098.

    PubMed  CAS  Google Scholar 

  30. Marzio L, Grossi L, DeLaurentiis MF, et al. Effect of cimetropium bromide on esophageal motility and transit in patients affected by primary achalasia. Dig Dis Sci 1994; 39: 1389–1394.

    PubMed  CAS  Google Scholar 

  31. Nasrallah SM, Tommaso CL, Singleton RT, et al. Primary esophageal motor disorders: clinical response to nifedipine. South Med J 1985; 78: 312–315.

    PubMed  CAS  Google Scholar 

  32. Penagini R, Bartesaghi B, Zannini P, et al. Lower oesophageal sphincter hypersensitivity to opioid receptor stimulation in patients with idiopathic achalasia. Gut 1993; 34: 16–20.

    PubMed  CAS  Google Scholar 

  33. Penagini R, Bartesaghi B, Negri G, et al. Effect of loperamide on lower oesophageal sphincter pressure in idiopathic achalasia. Scand J Gastroenterol 1994; 29: 1057–1060.

    PubMed  CAS  Google Scholar 

  34. Traube M, Duhovik S, Lange RC, et al. The role of nifedipine therapy in achalasia: results of a randomized, double-blind, placebo-controlled study. Am J Gastroenterol 1989; 84: 1259–1262.

    PubMed  CAS  Google Scholar 

  35. Triadafilopoulos G, Aaronson M, Sackel S, et al. Medical treatment of esophageal achalasia. Double-blind crossover study with oral nifedipine, verapamil, and placebo. Dig Dis Sci 1991; 36: 260–267.

    PubMed  CAS  Google Scholar 

  36. Eaker EY, Gordon JM, Vogel SB. Untoward effects of esophageal botulinum toxin injection in the treatment of achalasia. Dig Dis Sci 1997; 42: 724–727.

    PubMed  CAS  Google Scholar 

  37. Nair LA, Reynolds JC, Parkman HP, et al. Complications during pneumatic dilation for achalasia or diffuse esophageal spasm. Analysis of risk factors, early clinical characteristics, and outcome. Dig Dis Sci 1993; 38: 1893–1904.

    PubMed  CAS  Google Scholar 

  38. Parkman HP, Reynolds JC, Ouyang A, et al. Pneumatic dilatation or esophagomyotomy treatment for idiopathic achalasia: clinical outcomes and cost analysis. Dig Dis Sci 1993; 38: 75–85.

    PubMed  CAS  Google Scholar 

  39. Kadakia SC, Wong RK. Graded pneumatic dilation using Rigi-flex achalasia dilators in patients with primary esophageal achalasia. Am J Gastroenterol 1993; 88: 34–38.

    PubMed  CAS  Google Scholar 

  40. Barnett JL, Eisenman R, Nostrant TT, et al. Witzel pneumatic dilation for achalasia: safety-and long-term efficacy. Gastrointest Endosc 1990; 36: 482–485.

    PubMed  CAS  Google Scholar 

  41. Okike N, Payne WS, Neufeld DM, et al. Esophagomyotomy versus forceful dilation for achalasia of the esophagus: results in 899 patients. Ann Thorac Surg 1979; 28: 119–125.

    PubMed  CAS  Google Scholar 

  42. Kim CH, Cameron AJ, Hsu JJ, et al. Achalasia: prospective evaluation of relationship between lower esophageal sphincter pressure, esophageal transit, and esophageal diameter and symptoms in response to pneumatic dilation. Mayo Clin Proc 1993; 68: 1067–1073.

    PubMed  CAS  Google Scholar 

  43. Eckardt VF, Aignherr C, Bernhard G. Predictors of outcome in patients with achalasia treated by pneumatic dilation. Gastroenterology 1992; 103: 1732–1738.

    PubMed  CAS  Google Scholar 

  44. Ancona E, Anselmino M, Zaninotto G, et al. Esophageal achalasia: laparoscopie versus conventional open Heller-Dor operation. Am J Surg 1995; 170: 265–270.

    PubMed  CAS  Google Scholar 

  45. Siewert JR, Blum AL. The oesophagus. Part I: Surgery at the upper oesophageal sphincter, tubular oesophagus and lower oesophageal sphincter. Clin Gastroenterol 1979; 8: 271–291.

    PubMed  CAS  Google Scholar 

  46. Patti MG, Bresadola V. Gastroesophageal reflux disease: basic considerations. Probl Gen Surg 1996; 13: 1–8.

    Google Scholar 

  47. Wetscher GJ, Redmond EJ, Vititi LMH. Pathophysiology of gastroesophageal reflux disease. In: Hinder RA, ed. Gastroesophageal Reflux Disease. Austin: Landes, 1993: 7–29.

    Google Scholar 

  48. Klingman RR, Stein HJ, DeMeester TR. The current management of gastroesophageal reflux. Adv Surg 1991; 24: 259–291.

    PubMed  CAS  Google Scholar 

  49. Gallup survey on heartburn across America. Princeton: The Gallup Organization, 1988.

    Google Scholar 

  50. Spechler SJ. Epidemiology and natural history of gastrooesophageal reflux disease. Digestion 1992; 51: 240–249.

    Google Scholar 

  51. Ireland AC, Holloway RH, Toouli J, et al. Mechanisms underlying the antireflux action of fundoplication. Gut 1993; 34: 303–308.

    PubMed  CAS  Google Scholar 

  52. Little AG. Mechanisms of action of antireflux surgery: theory and fact. World J Surg 1992; 16: 320–325.

    PubMed  CAS  Google Scholar 

  53. Orlando RC. The pathogenesis of gastroesophageal reflux disease: the relationship between epithelial defense, dysmotility, and acid exposure. Am J Gastroenterol 1997; 92: 14–18.

    Google Scholar 

  54. Mittal RK, Rochester DF, McCallum RW. Sphincteric action of the diaphragm during a relaxed esophageal sphincter. Am J Physiol 1989; 256: G139 - G144.

    PubMed  CAS  Google Scholar 

  55. Mittal RK, Rochester DF, McCallum RW. Electrical and mechanical activity in the human lower esophageal sphincter during diaphragmatic cotraction. J Clin Invest 1988; 81: 1182–1189.

    PubMed  CAS  Google Scholar 

  56. Sontag SJ. Gastroesophageal reflux and asthma. Am J Med 1997; 103:845–905.

    Google Scholar 

  57. Shindlebeck NE, Klauser AG, Berghammer G, et al. Three-year follow-up with patients with gastroesophageal reflux disease. Gut 1992; 33: 1016–1019.

    Google Scholar 

  58. Vaezi MF, Richter JE. Synergism of acid and duodenogastroesophageal reflux in complicated Barrett’s esophagus. Surgery (St. Louis) 1995; 117: 699–704.

    CAS  Google Scholar 

  59. Hill LD. An effective operation for hiatal hernia: an eight year appraisal. Ann Surg 1967; 166: 681.

    PubMed  CAS  Google Scholar 

  60. Lerut T, Coosemans W, Christiaens R, et al. The Belsey Mark IV antireflux procedure: indications and long-term results. Acta Gastroenterol Belg 1990; 53: 585–590.

    PubMed  CAS  Google Scholar 

  61. Luostarinen M. Nissen fundoplication for reflux esophagitis. Long-term clinical and endoscopie results in 109 of 127 consecutive patients. Ann Surg 1993; 217: 329–337.

    PubMed  CAS  Google Scholar 

  62. Shirazi SS, Schulze K, Soper RT. Long-term follow-up for treatment of complicated chronic reflux esophagitis. Arch Surg 1987; 122: 548–552.

    PubMed  CAS  Google Scholar 

  63. Spechler SJ. Comparison of medical and surgical therapy for complicated gastroesophageal reflux disease in veterans. N Engl J Med 1992; 326: 786–792.

    PubMed  CAS  Google Scholar 

  64. Richter JE, Castell DO. Gastroesophageal reflux: pathogenesis, diagnosis and therapy. Ann Intern Med 1989; 97: 93–103.

    Google Scholar 

  65. Laycock WS, Mauren S, Waring JP. Improvement in quality of life measures following laparoscopie antireflux surgery. Gastroenterology 1995; 108: A244.

    Google Scholar 

  66. DeMeester TR, Bonavina L, Albertucci M. Evaluation of primary repair in 100 consecutive patients. Ann Surg 1986; 204: 9–20.

    PubMed  CAS  Google Scholar 

  67. Donohue PE, Samelson S, Nyhus LM, et al. The Nissen fundoplication. Effective long-term control of pathologic reflux. Arch Surg 1985; 120: 663–667.

    Google Scholar 

  68. Ellis FH. The Nissen fundoplication. Ann Thorac Surg 1992; 54: 1231–1235.

    PubMed  Google Scholar 

  69. Grande L, Toledo-Pimentel V, Manterola C, et al. Value of Nissen fundoplication in patients with gastro-oesophageal reflux judged by long-term symptom control. Br J Surg 1994; 81: 548–550.

    PubMed  CAS  Google Scholar 

  70. Johansson J, Johnsson F, Joelsson B, et al. Outcome 5 years after 360 degree fundoplication for gastro-oesophageal reflux disease. Br J Surg 1993; 80: 46–49.

    PubMed  CAS  Google Scholar 

  71. Luostarinen M, Isolauri J, Laitinen J, et al. Fate of Nissen f undoplication after 20 years. A clinical, endoscopical, and functional analysis. Gut 1993; 34: 1015–1020.

    PubMed  CAS  Google Scholar 

  72. Macintyre IM, Goulbourne IA. Long-term results after Nissen fundoplication: a 5–15-year review. J R Coll Surg Edinb 1990; 35: 159–162.

    PubMed  CAS  Google Scholar 

  73. Martin CJ, Cox MR, Cade RJ. Collis-Nissen gastroplasty fundoplication for complicated gastrooesophageal reflux disease. Aus N Z J Surg 1992; 62: 126–129.

    CAS  Google Scholar 

  74. Mira-Navarro J, Bayle-Bastos F, Frieyro-Segui M, et al. Long-term follow-up of Nissen fundoplication. Eur J Pediatr Surg 1994; 4: 7–10.

    PubMed  CAS  Google Scholar 

  75. Pope C. The quality of life following antireflux surgery. World J Surg 1992; 16: 355–358.

    PubMed  Google Scholar 

  76. Thor KBA, Silander T. A long-term randomized prospective trial of the Nissen procedure versus a modified Toupet technique. Ann Surg 1989; 210: 719–724.

    PubMed  CAS  Google Scholar 

  77. Hunter JG, Trus TL, Branum DG, et al. A physiologic approach to laparoscopie fundoplication for gastroesophageal reflux disease. Ann Surg 1996; 223: 673–687.

    PubMed  CAS  Google Scholar 

  78. Waring JP, Lacayo L, Hunter J, et al. Chronic cough and hoarseness in patients with severe gastroesophageal reflux disease. Diagnosis and response to therapy. Dig Dis Sci 1995; 40: 1093–1097.

    PubMed  CAS  Google Scholar 

  79. Waring JP, Hunter JG, Oddsdottir M, et al. The preoperative evaluation of patients considered for laparoscopic antireflux surgery. Am J Gastroenterol 1995; 90: 35–38.

    PubMed  CAS  Google Scholar 

  80. Smith CD, Fink AS, Applegren K. Guidelines for surgical treatment of gastroesophageal reflux disease (GERD). Society of American Gastrointestinal Endoscopie Surgeons (SAGES). Surg Endosc 1998; 12: 186–188.

    Google Scholar 

  81. Eshraghi N, Farahmand M, Soot SJ, et al. Comparison of outcomes of open versus laparoscopie Nissen fundoplication performed in a single practice. Am J Surg 1998; 175: 371–374.

    PubMed  CAS  Google Scholar 

  82. Anvari M, Allen C, Borm A. Laparoscopie Nissen fundoplication is a satisfactory alternative to long-term omeprazole therapy. Br J Surg 1995; 82: 938–942.

    PubMed  CAS  Google Scholar 

  83. Champault G. Gastroesophageal reflux. Treatment by laparoscopy: 940 cases-French experience. Ann Chir 1994, 48: 159–164.

    PubMed  CAS  Google Scholar 

  84. Hinder RA, Filipi CJ, Wetscher G, et al. Laparoscopie Nissen fundoplication is an effective treatment for gastroesophageal reflux disease. Ann Surg 1994; 220:472–481; discussion 481–483.

    PubMed  CAS  Google Scholar 

  85. Anvari M, Allen C. Laparoscopie Nissen fundoplication: two-year comprehensive follow-up of a technique of minimal para-esophageal dissection. Ann Surg 1998; 227: 25–32.

    PubMed  CAS  Google Scholar 

  86. Bloomston M, Zervos E, Gonzalez R, et al. Quality of life and antireflux medication use following laparoscopie Nissen fundoplication. Am Surg 1998; 64:509–513; discussion 513–514.

    CAS  Google Scholar 

  87. McKernan JB, Champion JK. Minimally invasive antireflux surgery. Am J Surg 1998; 175: 271–276.

    PubMed  CAS  Google Scholar 

  88. Farrell TM, Smith CD, Archer SB, et al. Heartburn is more likely to recur after Toupet fundoplication than Nissen fundoplication. Am J Surg 2000; 66: 1–9.

    Google Scholar 

  89. Peters JH. The surgical management of Barrett’s esophagus. Gastroenterol Clin North Am 1997; 26: 647–668.

    PubMed  CAS  Google Scholar 

  90. Edwards MJ, Gable DR, Lentsch AB, et al. The rationale for esophagectomy as the optimal therapy for Barrett’s esophagus with high-grade dysplasia. Ann Surg 1996; 223:585–589; discussion 589–591.

    Google Scholar 

  91. Heitmiller RF, Redmond M, Hamilton SR. Barrett’s esophagus with high-grade dysplasia. An indication for prophylactic esophagectomy. Ann Surg 1996; 224: 66–71.

    PubMed  CAS  Google Scholar 

  92. Sampliner RE. Practice guidelines on the diagnosis, surveillance, and therapy of Barrett’s esophagus. The Practice Parameters Committee of the American College of Gastroenterology. Am J Gastroenterol 1998; 93: 1028–1032.

    PubMed  CAS  Google Scholar 

  93. Spechler SJ. Esophageal columnar metaplasia (Barrett’s esophagus). Gastrointest Endosc Clin North Am 1997; 7: 1–18.

    CAS  Google Scholar 

  94. McDonald ML, Trastek VF, Allen MS, et al. Barretts’s esophagus: does an antireflux procedure reduce the need for endoscopie surveillance? J Thorac Cardiovasc Surg 1996; 111:1135–1138; discussion 1139–1140.

    PubMed  CAS  Google Scholar 

  95. DeMeester TR, Attwood SE, Smyrk TC, et al. Surgical therapy in Barrett’s esophagus. Ann Surg 1990; 212:528–540; discussion 540–542.

    PubMed  CAS  Google Scholar 

  96. Csendes A, Braghetto I, Burdiles P, et al. A new physiologic approach for the surgical treatment of patients with Barrett’s esophagus: technical considerations and results in 65 patients. Ann Surg 1997; 226: 123–133.

    PubMed  CAS  Google Scholar 

  97. Wetscher GJ, Profanter C, Gadenstatter M, et al. Medical treatment of gastroesophageal reflux disease does not prevent the development of Barrett’s metaplasia and poor esophageal body motility. Langenbecks Arch Chir 1997; 382: 95–99.

    PubMed  CAS  Google Scholar 

  98. Sampliner RE. Ablation of Barrett’s mucosa. Gastroenterologist 1997; 5: 185–188.

    PubMed  CAS  Google Scholar 

  99. Sampliner RE. New treatments for Barrett’s esophagus. Semin Gastrointest Dis 1997; 8: 68–74.

    PubMed  CAS  Google Scholar 

  100. Skinner DB, Belsey RHR. Surgical management of esophageal reflux and hiatus hernia: long-term results with 1030 patients. J Thorac Cardiovasc Surg 1967; 53: 33.

    PubMed  CAS  Google Scholar 

  101. Moskovitz M, Fadden R, Min T, et al. Large hiatal hernias, anemia, and linear gastric erosion: studies of etiology and medical therapy. Am J Gastroenterol 1992; 87: 622–626.

    PubMed  CAS  Google Scholar 

  102. Landreneau RJ, Johnson JA, Marshall JB, et al. Clinical spectrum of paraesophageal hemiation. Dig Dis Sei 1992; 37: 537–544.

    CAS  Google Scholar 

  103. Berstad A, Weberg R, Froyshov Larsen I, et al. Relationship of hiatus hernia to reflux oesophagitis. A prospective study of coincidence, using endoscopy. Scand J Gastroenterol 1986; 21: 55–58.

    PubMed  CAS  Google Scholar 

  104. Sloan S, Rademaker AW, Kahrilas PJ. Determinants of gastroesophageal junction incompetence: hiatal hernia, lower esophageal sphincter, or both? Ann Intern Med 1992; 117: 977–982.

    PubMed  CAS  Google Scholar 

  105. Ott DJ, Glauser SJ, Ledbetter MS, et al. Association of hiatal hernia and gastroesophageal reflux: correlation between presence and size of hiatal hernia and 24-hour pH monitoring of the esophagus. AIR (Am J Roentgenol) 1995; 165: 557–559.

    CAS  Google Scholar 

  106. Mattioli S, D’Ovidio F, Di Simone MP, et al. Clinical and surgical relevance of the progressive phases of intrathoracic migration of the gastroesophageal junction in gastroesophageal reflux disease. J Thorac Cardiovasc Surg 1998; 116: 267–275.

    PubMed  CAS  Google Scholar 

  107. Kasapidis P, Vassilakis JS, Tzovaras G, et al. Effect of hiatal hernia on esophageal manometry and pH-metry in gastroesophageal reflux disease. Dig Dis Sci 1995; 40: 2724–2730.

    PubMed  CAS  Google Scholar 

  108. Petterson GB, Bombeck CT, Nyhus LM. The influence of hiatal hernia on lower esophageal sphincter function: an experimental study. Ann Pediatr Surg 1981; 193: 214–220.

    Google Scholar 

  109. DeMeester TR, Lafontaine E, Joelsson BE, et al. Relationship of a hiatal hernia to the function of the body of the esophagus and the gastroesophageal junction. J Thorac Cardiovasc Surg 1981; 82: 547–558.

    PubMed  CAS  Google Scholar 

  110. Sloan S, Kahrilas PJ. Impairment of esophageal emptying with hiatal hernia. Gastroenterology 1991; 100: 596–605.

    PubMed  CAS  Google Scholar 

  111. Mittal RK. Hiatal hernia and gastroesophageal reflux: another attempt to resolve the controversy. Gastroenterology 1993; 105: 941–943.

    PubMed  CAS  Google Scholar 

  112. Casabella F, Sinanan M, Horgan S, et al. Systematic use of gastric fundoplication in laparoscopie repair of paraesophageal hernias. Am J Surg 1996; 171: 485–489.

    PubMed  CAS  Google Scholar 

  113. Fuller CB, Hagen JA, DeMeester TR, et al. The role of fundoplication in the treatment of type II paraesophageal hernia. J Thorac Cardiovasc Surg 1996; 111: 655–661.

    PubMed  CAS  Google Scholar 

  114. Pera M, Cameron AJ, Trastek VF. Increasing incidence of adenocarcinoma of the esophagus and esophagogastric junction. Gastroenterology 1993; 104: 510–513.

    PubMed  CAS  Google Scholar 

  115. Gore RM. Esophageal cancer: clinical and pathologic features. Radiol Clin North Am 1997; 35: 243–263.

    PubMed  CAS  Google Scholar 

  116. Krasna MJ. Thoracoscopic staging of esophageal carcinoma. Chest Surg Clin N Am 1995; 5: 489–513.

    PubMed  CAS  Google Scholar 

  117. Krasna MJ. Advances in staging esophageal carcinoma. Chest 1998; 113:107S–111S.

    PubMed  CAS  Google Scholar 

  118. DeMeester TR. Esophageal carcinoma: current controversies. Semin Surg Oncol 1997; 13: 217–233.

    PubMed  CAS  Google Scholar 

  119. Ellis FH Jr, Watkins EJ, Krasna MJ. Staging of carcinoma of the esophagus and cardia: a comparison of different staging criteria. J Surg Oncol 1993; 52: 231–235.

    PubMed  Google Scholar 

  120. Goodnight J, Venook A, Ames M, et al. Practice guidelines for esophageal cancer. Cancer J Sci Am 1996; 2: S37 - S43.

    PubMed  CAS  Google Scholar 

  121. Buecker A, Wein BB, Neuerburg JM, et al. Esophageal perforation: comparison of use of aqueous and barium-containing contrast media. Radiology 1997; 202: 683–686.

    PubMed  CAS  Google Scholar 

  122. Lee S, Mergo PJ, Ros PR. The leaking esophagus: CT patterns of esophageal rupture, perforation, and fistulization. Crit Rev Diagn Imaging 1996; 37: 461–490.

    PubMed  Google Scholar 

  123. Enns R, Branch MS. Management of esophageal perforation after therapeutic upper gastrointestinal endoscopy. Gastrointest Endosc 1998; 47: 318–320.

    PubMed  CAS  Google Scholar 

  124. Wetstein L, Duerr A, Wagner RB. Esophageal perforation. Ann Thorac Surg 1998; 65: 875–876.

    PubMed  CAS  Google Scholar 

  125. Bufkin BL, Miller JI Jr, Mansour KA. Esophageal perforation: emphasis on management. Ann Thorac Surg 1996; 61:1447–1451; discussion 1451–1452.

    Google Scholar 

  126. Reeder LB, DeFilippi VJ, Ferguson MK. Current results of therapy for esophageal perforation. Am J Surg 1995; 169: 615–617.

    PubMed  CAS  Google Scholar 

  127. Whyte RI, Iannettoni MD, Orringer MB. Intrathoracic esophageal perforation. The merit of primary repair. J Thorac Cardiovasc Surg 1995; 109:140–144; discussion 144–146.

    PubMed  CAS  Google Scholar 

  128. Altorjay A, Kiss J, Voros A, et al. Nonoperative management of esophageal perforations. Is it justified? Ann Surg 1997; 225: 415–421.

    PubMed  CAS  Google Scholar 

  129. Zargar SA, Kochhar R, Nagi B, et al. Ingestion of strong corrosive alkalis: spectrum of injury to upper gastrointestinal tract and natural history. Am J Gastroenterol 1992; 87: 337–341.

    PubMed  CAS  Google Scholar 

  130. Zargar SA, Kochhar R, Mehta S, et al. The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopie classification of burns. Gastrointest Endosc 1991; 37: 165–169.

    PubMed  CAS  Google Scholar 

  131. Andreoni B, Farina ML, Biffi R, et al. Esophageal perforation and caustic injury: emergency management of caustic ingestion. Dis Esophagus 1997; 10: 95–100.

    PubMed  CAS  Google Scholar 

  132. Anderson KD, Rouse TM, Randolph JG. A controlled trial of corticosteroids in children with corrosive injury of the esophagus. N Engl J Surg 1990; 323: 637–640.

    CAS  Google Scholar 

  133. Altorjay A, Kiss J, Voros A, et al. The role of esophagectomy in the management of esophageal perforations. Ann Thorac Surg 1998; 65: 1433–1436.

    PubMed  CAS  Google Scholar 

  134. Berthet B, Castellani P, Brioche MI, et al. Early operation for severe corrosive injury of the upper gastrointestinal tract. Eur J Surg 1996; 162: 951–955.

    PubMed  CAS  Google Scholar 

  135. Pate JW, Walker WA, Cole FH Jr, et al. Spontaneous rupture of the esophagus: a 30-year experience. Ann Thorac Surg 1989; 47: 689–692.

    PubMed  CAS  Google Scholar 

  136. Bharucha AE, Gostout CJ, Balm RK. Clinical and endoscopie risk factors in the Mallory-Weiss syndrome. Am J Gastroenterol 1997; 92: 805–808.

    PubMed  CAS  Google Scholar 

  137. Cuilliere C, Ducrotte P, Zerbib F, et al. Achalasia: outcome of patients treated with intrasphincteric injection of botulinum toxin. Gut 1997; 41: 87–92.

    PubMed  CAS  Google Scholar 

  138. Pasricha PJ, Rai R, Ravich WJ, et al. Botulinum toxin for achalasia: long-term outcome and predictors of response. Gastroenterology 1996; 110: 1410–1415.

    PubMed  CAS  Google Scholar 

  139. Fiorini A, Corti RE, Valero JL, et al. Botulinum toxin is effective in the short-term treatment of esophageal achalasia. Preliminary results of a randomized trial. Acta Gastroenterol Latinoam 1996; 26: 155–157.

    PubMed  CAS  Google Scholar 

  140. Annese V, Basciani M, Perri F, et al. Controlled trial of botulinum toxin injection versus placebo and pneumatic dilation in achalasia. Gastroenterology 1996; 111: 1418–1424.

    PubMed  CAS  Google Scholar 

  141. Pasricha PJ, Ravich WJ, Hendrix TR, et al. Intrasphincteric botulinum toxin for the treatment of achalasia. N Engl J Surg 1995; 332: 774–778.

    CAS  Google Scholar 

  142. Felix VN, Cecconello I, Zilberstein B, et al. Achalasia: a prospective study comparing the results of dilatation and myotomy. Hepatogastroenterology 1998; 45: 97–108.

    PubMed  CAS  Google Scholar 

  143. Csendes A, Braghetto I, Henriquez A, et al. Late results of a prospective randomised study comparing forceful dilatation and oesophagomyotomy in patients with achalasia. Gut 1989; 30: 299–304.

    PubMed  CAS  Google Scholar 

  144. Moreno-Gonzalez E, Garcia Alvarez A, Landa Garcia I, et al. Results of surgical treatment of esophageal achalasia. Multicenter retrospective study of 1,856 cases. GEEMO (Groupe Europeen Etude Maladies Oesophageennes) Multicentric Retrospective Study. Int Surg 1988; 73: 69–77.

    PubMed  CAS  Google Scholar 

  145. Cosentini E, Berlakovich G, Zacherl J, et al. Achalasia. Results of myotomy and antireflux operation after failed dilatations. Arch Surg 1997; 132: 143–147.

    PubMed  CAS  Google Scholar 

  146. Mattioli S, Di Simone MP, Bassi F, et al. Surgery for esophageal achalasia. Long-term results with three different techniques. Hepatogastroenterology 1996; 43: 492–500.

    PubMed  CAS  Google Scholar 

  147. Bonavina L, Nosadini A, Bardini R, et al. Primary treatment of esophageal achalasia. Long-term results of myotomy and Dor fundoplication. Arch Surg 1992; 127:222–226; discussion 227.

    PubMed  CAS  Google Scholar 

  148. Pinotti HW, Felix VN, Zilberstein B, et al. Surgical complications of Chagas’ disease: megaesophagus, achalasia of the pylorus, and cholelithiasis. World J Surg 1991; 15: 198–204.

    PubMed  CAS  Google Scholar 

  149. Ferguson MK, Reeder LB, Olak J. Results of myotomy and partial fundoplication after pneumatic dilation for achalasia. Ann Thorac Surg 1996; 62: 327–330.

    PubMed  CAS  Google Scholar 

  150. Ellis FH Jr, Crozier RE, Watkins E Jr. Operation for esophageal achalasia. Results of esophagomyotomy without an antireflux operation. J Thorac Cardiovasc Surg 1984; 88: 344–351.

    PubMed  Google Scholar 

  151. Wang PC, Sharp KW, Holzman MD, et al. The outcome of laparoscopic Heller myotomy without antireflux procedure in patients with achalasia. Am Surg 1998; 64:515–520; discussion 521.

    PubMed  CAS  Google Scholar 

  152. Rosati R, Fumagalli U, Bona S, et al. Evaluating results of laparoscopic surgery for esophageal achalasia. Surg Endosc 1998; 12: 270–273.

    PubMed  CAS  Google Scholar 

  153. Hunter JG, Trus TL, Branum GD, et al. Laparoscopie Heller myotomy and fundoplication for achalasia. Ann Surg 1997; 225: 655–664; discussion 664–665.

    PubMed  CAS  Google Scholar 

  154. Vogt D, Curet M, Pitcher D, et al. Successful treatment of esophageal achalasia with laparoscopie Heller myotomy and Toupet fundoplication. Am J Surg 1997; 174: 709–714.

    PubMed  CAS  Google Scholar 

  155. Anselmino M, Zaninotto G, Costantini M, et al. One-year follow-up after laparoscopie Heller-Dor operation for esophageal achalasia. Surg Endosc 1997; 11: 3–7.

    PubMed  CAS  Google Scholar 

  156. Maher JW. Thoracoscopic esophagomyotomy for achalasia: maximum gain, minimal pain. Surgery (St. Louis) 1997; 122:836–840; discussion 840–841.

    CAS  Google Scholar 

  157. Pellegrini CA, Leichter R, Patti M, et al. Thoracoscopic esophageal myotomy in the treatment of achalasia. Ann Thorac Surg 1993; 56: 680–682.

    PubMed  CAS  Google Scholar 

  158. Peracchia A, Bonavina L, Name S, et al. Minimally invasive surgery for Zenker diverticulum: analysis of results in 95 consecutive patients. Arch Surg 1998; 133: 695–700.

    PubMed  CAS  Google Scholar 

  159. Scher RL, Richtsmeier WJ. Long-term experience with endoscopie staple-assisted esophagodiverticulostomy for Zenker’s diverticulum. Laryngoscope 1998; 108: 200–205.

    PubMed  CAS  Google Scholar 

  160. Von Doersten PG, Byl FM. Endoscopie Zenker’s diverticulotomy (Dohlman procedure): forty cases reviewed. Otolaryngol Head Neck Surg 1997; 116: 209–212.

    Google Scholar 

  161. Lippert BM, Folz BJ, Gottschlich S, et al. Microendoscopic treatment of the hypopharyngcal diverticulum with the CO2 laser. Lasers Surg Med 1997; 20: 394–401.

    PubMed  CAS  Google Scholar 

  162. Ishioka S, Sakai P, Maluf Filho F, et al. Endoscopie incision of Zenker’s diverticula. Endoscopy 1995; 27: 433–437.

    PubMed  CAS  Google Scholar 

  163. Wouters B, van Overbeek JJ. Endoscopie treatment of the hypopharyngeal (Zenker’s) diverticulum. Hepatogastroenterology 1992; 39: 105–108.

    PubMed  CAS  Google Scholar 

  164. Bonafede JP, Lavertu P, Wood BG, et al. Surgical outcome in 87 patients with Zenker’s diverticulum. Laryngoscope 1997; 107: 720–725.

    PubMed  CAS  Google Scholar 

  165. Witterick IJ, Gullane PJ, Yeung E. Outcome analysis of Zenker’s diverticulectomy and cricopharyngeul myotomy. Head Neck 1995; 17: 382–388.

    PubMed  CAS  Google Scholar 

  166. Laing MR, Murthy P, Ah-See KW, et al. Surgery for pharyngeal pouch: audit of management with short-and long-term follow-up. J R Coll Surg Edinb 1995; 40: 315–318.

    PubMed  CAS  Google Scholar 

  167. Lernt T, van Raemdonck D, Guelinekx P, et al. Zenker’s diverticulum: is a myotomy of the cricopharyngeus useful? How long should it be? Hepatogastroenterology 1992; 39: 127–131.

    Google Scholar 

  168. Schmit PJ, Zuckerbraun L. Treatment of Zenker’s diverticula by cricopharyngeus myotomy under local anesthesia. Am Surg 1992; 58: 710–716.

    PubMed  CAS  Google Scholar 

  169. Payne WS. The treatment of pharyngoesophageal diverticulum: the simple and complex. Hepatogastroenterology 1992; 39: 109–114.

    PubMed  CAS  Google Scholar 

  170. Klinkenberg-Knol EC, Jansen JM, Festen HP, et al. Double-blind multicentre comparison of omeprazole and ranitidine in the treatment of reflux oesophagitis. Lancet 1987; 1: 349–351.

    PubMed  CAS  Google Scholar 

  171. Havelund T, Laursen LS, Skoubo-Kristensen E, et al. Omeprazole and ranitidine in treatment of reflux oesophagitis: double blind comparative trial. Br Med J Clin Res Ed 1988; 296: 89–92.

    PubMed  CAS  Google Scholar 

  172. Sandmark S, Carlsson R, Fausa O, et al. Omeprazole or ranitidine in the treatment of reflux esophagitis. Results of a double-blind, randomized, Scandinavian multicenter study. Scand J Gastroenterol 1988; 23: 625–632.

    PubMed  CAS  Google Scholar 

  173. Vantrappen G, Rutgeerts L, Schurmans P, et al. Omeprazole j40 mg) is superior to ranitidine in short-term treatment of ulcerative reflux esophagitis. Dig Dis Sci 1988; 33: 523–529.

    PubMed  CAS  Google Scholar 

  174. Lundell L, Backman L, Ekstrom P, et al. Omeprazole or high-dose ranitidine in the treatment of patients with reflux oesophagitis not responding to ‘standard doses’ of H2-receptor antagonists. Aliment Pharmacol Ther 1990; 4: 145–155.

    PubMed  CAS  Google Scholar 

  175. Attwood SE, Barlow AP, Norris TL, et al. Barrett’s oesophagus: effect of antireflux surgery on symptom control and development of complications. Br J Surg 1992; 79: 1050–1053.

    PubMed  CAS  Google Scholar 

  176. Ortiz A, Martinez de Haro LF, Parrilla P, et al. Conservative treatment versus antireflux surgery in Barrett’s oesophagus: long-term results of a prospective study. Br J Surg 1996; 83: 274–278.

    PubMed  CAS  Google Scholar 

  177. Sampliner RE. Effect of up to 3 years of high-dose lansoprazole on Barrett’s esophagus. Am J Gastroenterol 1994; 89: 1844–1848.

    PubMed  CAS  Google Scholar 

  178. Csendes A, Braghetto I, Burdiles P, et al. Long-term results of classic antireflux surgery in 152 patients with Barrett’s esophagus: clinical, radiologie, endoscopic, manometric, and acid reflux test analysis before and late after operation. Surgery (St. Louis) 1998; 126: 645–657.

    Google Scholar 

  179. Skinner DB, Walther BC, Riddell RH, et al. Barrett’s esophagus. Comparison of benign and malignant cases. Ann Surg 1983; 198: 554–565.

    PubMed  CAS  Google Scholar 

  180. Williamson WA, Ellis FH Jr, Gibb SP, et al. Effect of antireflux operation on Barrett’s mucosa. Ann Thorac Surg 1990; 49:537–541; discussion 541–542.

    PubMed  CAS  Google Scholar 

  181. Martinez de Haro LF, Ortiz A, Parrilla P, et al. Long-term results of Nissen fundoplication in reflux esophagitis without strictures. Clinical, endoscopic, and pH-metric evaluation. Dig Dis Sci 1992; 37: 523–527.

    PubMed  CAS  Google Scholar 

  182. Sagar PM, Ackroyd R, Hosie KB, et al. Regression and progression of Barrett’s oesophagus after antireflux surgery. Br J Surg 1995; 82: 806–810.

    PubMed  CAS  Google Scholar 

  183. Polepalle SC, McCallum RW. Barrett’s esophagus. Current assessment and future perspectives. Gastroenterol Clin North Am 1990; 19: 733–744.

    PubMed  CAS  Google Scholar 

  184. Launois P, Lygidakis C, Malledant G. Results of the surgical treatment of carcinoma of the esophagus. Surg Gynecol Obstet 1983; 156: 753–760.

    PubMed  CAS  Google Scholar 

  185. Hankins JR, Colen EN, Ward A. Carcinoma of the esophagus: the philosophy for palliation. Ann Thorac Surg 1972; 14: 189–197.

    PubMed  CAS  Google Scholar 

  186. Carey JS, Plestad WG, Hughes RK. Esophagogastrectomy. Ann Thorac Surg 1972; 14: 59–68.

    CAS  Google Scholar 

  187. Roth JA, Putnam JBJ. Surgery for cancer of the esophagus. Semin Surg Oncol 1994; 21: 453–461.

    CAS  Google Scholar 

  188. Katlic MR, Wilkins EW, Grillo HC. Three decades of treatment of esophageal squamous carcinoma at the Massachusetts General Hospital. J Thorac Cardiovasc Surg 1990; 99: 929–938.

    PubMed  CAS  Google Scholar 

  189. Putnam JBJ, Suell DA, Natarajan G. A comparison of three techniques of esophagectomy for carcinoma of the esophagus from one institution with a residency training program. Ann Thorac Surg 1994; 57: 319–325.

    PubMed  Google Scholar 

  190. Orringer MB. Transhiatal esophagectomy without thoracotomy for carcinoma of the thoracic esophagus. Ann Surg 1984; 200: 282–288.

    PubMed  CAS  Google Scholar 

  191. Yonezawa T, Tsuchiya S, Ogoshi S. Resection of cancer of the thoracic esophagus without thoracotomy. J Thorac Cardiovasc Surg 1984; 88: 146–149.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer Science+Business Media New York

About this chapter

Cite this chapter

Smith, C.D. (2001). Esophagus. In: Norton, J.A., et al. Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57282-1_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-57282-1_26

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63239-6

  • Online ISBN: 978-3-642-57282-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics