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January 1961

Postsurgical Esophagitis and Stricture

Author Affiliations


Assistant Clinical Professor (Dr. Rider), and Assistant Professor (Dr. Moeller), Department of Medicine, University of California School of Medicine, San Francisco.

Arch Intern Med. 1961;107(1):16-22. doi:10.1001/archinte.1961.03620010020005

Esophagitis and esophageal stricture occur with disturbing frequency in patients who have undergone surgical operation. Although these conditions may follow any type of surgery after which a nasogastric tube is used, they occur much more commonly following surgery of the type that disturbs or alters the normal anatomy and physiology of the gastroeosphageal junction (for example, partial esophageal resection with esophagogastrostomy, esophagoplasty, total gastric resection, and the esophageal myotomy of Heller), whether a nasogastric tube is used postoperatively or not.

It is the purpose of this paper to emphasize the importance of preventing these complications by the selection of the proper surgical procedure and to stress the importance of early recognition of symptoms of esophagitis. Early diagnosis will enable the physician to initiate prompt treatment, and thereby to prevent the development of chronic, irreversible disease.

Anatomy and Physiology of the Cardioesophageal Junction  It is essential in a discussion of this