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Esophageal Reconstruction by Esophagojejunostomy and EsophagocologastrostomyProcedures with Special Reference to Lye Strictures
LEWIS H. BOSHER, Jr., M.D.;
ALFRED M. DECKER, Jr., M.D.;
JAQUELIN M. HARRISON, M.D.
AMA Arch Surg. 1957;75(3):484-492.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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The problem of reconstitution of alimentary tract continuity within the thorax remains dynamic. Procedures in common usage pose the problems of peptic regurgitation, multiplicity and complexity of operations, nutritional defects, and recurrent stricture formation.
As many of these difficulties appear to have been overcome by the use of esophagojejunostomy and esophagocologastrostomy via an anterior mediastinal tunnel, an experience with these operations is thought worthy of presentation.
This exhibit demonstrates in some detail the operative techniques and their application to selected benign and malignant esophageal lesions.
O. O. Age 18 months. Lye burn June 28, 1953. Gastrostomy July, 1953. Esophagocologastrostomy completed October, 1953, in two stages.
R. R. Age 53 years. Carcinoma of the esophagus, middle third. Palliative reconstructive procedure attempted. Death on second postoperative day, of adrenal insufficiency (?).
B. J. Age 2 years. Lye burn September, 1953. Gastrostomy October, 1953. Esophagocologastrostomy in one stage, May, 1954. H. P. Age 16
. . . [Full Text PDF of this Article]
Author Affiliations
Richmond, Va.
From the Medical College of Virginia, Hospital Division.
Footnotes
Shown as a scientific exhibit at the 48th Annual Meeting of the Southern Medical Association, St. Louis, Nov. 8-11, 1954.
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