| Treatment of esophageal achalasia (cardiospasm) with diaphragmatic graft: report of 44 patients. | |
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MedLine Citation:
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PMID: 6402996 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Results with the use of a diaphragmatic graft in the surgical relief of achalasia are reported for 44 patients. The operative technique involves construction of a pedicle flap of diaphragm the size of the muscular defect on the lower segment of the esophagus and suture of the transplanted diaphragmatic pedicle to the site of the esophageal muscular defect. Immediate operative results were good; there was only one complication, a case of pneumonia that was cured. Patients were followed from 3 months to 19 years. Two patients were lost to follow-up. Excellent results were obtained in 39 patients; 3 patients still had nausea and heartburn, but were better than before operation. This procedure has three advantages: (1) it prevents occurrence of fistula and diverticulum at the site of the esophageal muscular defect; (2) it effectively eliminates formation of restenosis due to scar and reflux esophagitis; and (3) it allows the cardia to recover its normal function and the esophagus to return to normal size at the site of operation. |
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Authors:
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Y X Yu |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 35 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1983 Mar |
Date Detail:
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Created Date: 1983-04-21 Completed Date: 1983-04-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 249-52 Citation Subset: AIM; IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Child, Preschool Diaphragm / transplantation* Diverticulum, Esophageal / prevention & control Esophageal Achalasia / surgery* Esophageal Fistula / prevention & control Esophagus / surgery Female Humans Male Methods Middle Aged Postoperative Complications / prevention & control Surgical Flaps* Suture Techniques |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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