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September 1957

Esophageal Reconstruction by Esophagojejunostomy and Esophagocologastrostomy: Procedures with Special Reference to Lye Strictures

Author Affiliations

Richmond, Va.
From the Medical College of Virginia, Hospital Division.

AMA Arch Surg. 1957;75(3):484-492. doi:10.1001/archsurg.1957.01280150174020

The problem of reconstitution of alimentary tract continuity within the thorax remains dynamic. Procedures in common usage pose the problems of peptic regurgitation, multiplicity and complexity of operations, nutritional defects, and recurrent stricture formation.

As many of these difficulties appear to have been overcome by the use of esophagojejunostomy and esophagocologastrostomy via an anterior mediastinal tunnel, an experience with these operations is thought worthy of presentation.

This exhibit demonstrates in some detail the operative techniques and their application to selected benign and malignant esophageal lesions.

O. O. Age 18 months. Lye burn June 28, 1953. Gastrostomy July, 1953. Esophagocologastrostomy completed October, 1953, in two stages.

R. R. Age 53 years. Carcinoma of the esophagus, middle third. Palliative reconstructive procedure attempted. Death on second postoperative day, of adrenal insufficiency (?).

B. J. Age 2 years. Lye burn September, 1953. Gastrostomy October, 1953. Esophagocologastrostomy in one stage, May, 1954. H. P. Age 16

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