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September 1973

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

Author Affiliations

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

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.

McLaughlin JS, Roig R, Woodruff MFA:  Surgical treatment of strictures of the esophagus in patients with slceroderma . J Thorac Cardiovasc Surg 61:641-645, 1971.
Perdue GD, Morris AJ:  Surgical manifestations of scleroderma . Surg Gynecol Obstet 115:745-748, 1962.
Dornhorst AC, Pierce JW, Whimster JW:  The esophageal lesion in scleroderma . Lancet 266:698-699, 1954.Article
Benedict EB, Nardi GL: The Esophagus: Medical and Surgical Management . Boston, Little Brown & Co, 1958.
Bockus HL: Gastroenterology I . Philadelphia, WB Saunders Co, 1966, pp 213-214.
Turner GG:  Carcinoma of the esophagus: The question of its treatment by surgery . Lancet 230:130-134, 1936.Article
LeQuesne LP, Ranger D:  Pharyngolaryngectomy with immediate pharyngogastric anastomosis . Br J Surg 53:105-109, 1966.Article
Balasegaram M:  Replacement of hypopharynx and esophagus . Am J Surg 115:279-286, 1968.Article
Ong GB:  Carcinoma of the hypopharynx and cervical oesophagus , in Progress in Clinical Surgery: Series III . London, J & A Churchill Ltd, 1969, pp 155-178.
Simkin EP, Stell PM:  Technique of gastric mobilization for esophageal replacement . Surgery 67:1029-1030, 1970.
Akiyama H, Sato Y, Takahashi F:  Immediate pharyngogastrostomy following total esophagectomy by blunt dissection . Jap J Surg 1:225-231, 1971.Article