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October 18, 1985

Esophageal Disorders: Pathophysiology and Therapy

Author Affiliations

USAF Hospital Hill AFB, Utah

JAMA. 1985;254(15):2152. doi:10.1001/jama.1985.03360150132046

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There appears perhaps once every decade a medical textbook of the high quality represented by DeMeester and Skinner's edited collection of papers from the 1983 International Symposium on Esophageal Disorders. This compendium of diagnosis and management of esophageal disease addresses state-of-the-art diagnosis and treatment without ignoring the logical influence of previous theory and practice.

The early chapters provide a scholarly consideration of functional anatomy and physiology of the esophagus, with a comprehensive discussion of motility and sphincter pressure. Diagnostic advances are discussed, which include imaging, computed tomography, radionuclide studies, and pH monitoring.

The logical progression to consideration of gastroesophageal reflux follows, with excellent papers describing comparison studies of the various techniques of operative repair. Additional chapters are devoted to the more complicated surgical problems such as failed antireflux procedures, stricture, and carcinoma.

The nonsurgical subjects of functional esophageal disorders, varices, and endoscopy are equally well presented.

The editors and contributors