[Skip to Navigation]
November 1956

Conservative Surgical Treatment of Peptic Stenosis of the Esophagus: Report of a Case Complicated by Perforation

Author Affiliations

Ray Brook, N. Y.
From Ray Brook State Tuberculosis Hospital.

AMA Arch Surg. 1956;73(5):820-822. doi:10.1001/archsurg.1956.01280050088016

Although peptic stenoses of the esophagus frequently respond to peroral dilatation, those which cannot be so dilated, or are complicated by severe bleeding or perforation, often require surgery in the form of plastic procedures or some type of gastric or esophageal resection. The subject has been comprehensively reviewed by Benedict and Gillespie1 and Benedict.2

The following case is presented because it represents a successful result of a surgical approach which has not been stressed.

A 40-year-old white man was readmitted to the Ray Brook State Tuberculosis Hospital for the fifth time on Jan. 30, 1954, with severe dysphagia, weight loss, and pulmonary tuberculosis. He had experienced essentially no gastrointestinal difficulty until Oct. 18, 1950, when he developed epigastric distress followed by lower abdominal pain. On Oct. 20 an appendiceal abscess was drained. On the first postoperative day the patient's abdomen