Document Detail


Short esophagus or bad dissected esophagus? An experimental cadaveric study.
MedLine Citation:
PMID:  13129547     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Short esophagus is defined as the inability to reduce the gastroesophageal junction below the diaphragm. One of the factors responsible for this inability can be inadequate esophageal mobilization. We evaluated esophageal lengthening achieved by means of dissection in a cadaveric model. Fifty-one cadavers were dissected (27 transthoracically and 24 transhiatally). Abdominal esophageal length was assessed before and after dissection of the esophagus from the hiatus to the carina. In the transthoracic group, a mean of 1.7+/-1.3 cm (range 0.3 to 5.0 cm) was gained with dissection. In the transhiatal group, a mean of 1.8+/-0.8 cm (range 0 to 3.0 cm) was gained with dissection. In a comparison of results of transthoracic and transhiatal approaches, the difference was not statistically significant. We concluded that a significant increase in esophageal length was achieved after dissection; however, the access route (thorax or abdomen) did not influence the results.
Authors:
Fernando Augusto Mardiros Herbella; Jose Carlos Del Grande; Ramiro Colleoni
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  7     ISSN:  1091-255X     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:    2003 Sep-Oct
Date Detail:
Created Date:  2003-09-17     Completed Date:  2004-02-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  721-5     Citation Subset:  IM    
Affiliation:
Department of Surgical Gastroenterology, Esophagus and Stomach Division, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil. herbella.dcir@unifesp.epm.br
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MeSH Terms
Descriptor/Qualifier:
Adult
Cadaver
Dissection / methods
Esophagus / abnormalities,  anatomy & histology*
Female
Gastroesophageal Reflux / etiology,  surgery
Humans
Male
Middle Aged
Statistics, Nonparametric

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