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ELBERT H. CALDWELL, M.D.

AMA Arch Surg. 1959;78(4):524-527.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Until 1940 congenital esophageal atresia was a uniformly fatal congenital anomaly. At that time Haight¹ first successfully closed the tracheoesophageal fistula and performed a primary esophageal anastomosis. This operation was quickly established as the treatment of choice, and in many hundreds of cases has been successfully done, with an acceptable mortality rate. However, in some of these anomalies, usually estimated at about 10%, primary anastomosis is impossible because of the shortness or poor development of the distal segment.

The best method of salvaging these few cases has not been clearly established. The same problem, that of esophageal replacement, whether for atresia, carcinoma, or chemically induced stricture, has intrigued surgeons for generations. The first successful method, a skin-lined subcutaneous tube, has been abandoned. Longmire² replaced the esophagus with a segment of jejunum placed subcutaneously. Rienhoff and Potts used stomach by the same route. Sweet³ mobilized the stomach and . . . [Full Text PDF of this Article]

Author Affiliations
Tyler, Texas

Footnotes
Submitted for publication Oct. 29, 1958.

Read at a meeting of the Texas Surgical Society Oct. 8, 1957.

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