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Article
September 1973

Esophageal Reconstruction for Stenosis Due to Diffuse SclerodermaUtilizing Blunt Dissection of Esophagus

Author Affiliations

Tokyo
From the Department of Surgery, Toranomon Hospital (Dr. Akiyama) and the Department of Radiology, University of Tokyo (Drs. Kogure and Itai), Tokyo.

Arch Surg. 1973;107(3):470-472. doi:10.1001/archsurg.1973.01350210100027
Abstract

Blunt dissection of the esophagus and cervical esophagogastrostomy via a posterior mediastinal tunnel without thoracotomy was successfully performed in a patient with esophageal stenosis secondary to scleroderma. The larynx was, of course, preserved. This type of esophageal reconstruction is believed to be an effective and simple means of providing palliation in this difficult clinical situation, and is one of the good indications of utilizing blunt dissection of the thoracic esophagus.

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