Diseases of the Esophagus

Polypoidal carcinosarcoma of oesophagus

“…The initial disease presumably took the form of simple polyp formation. No other oesophageal lesion was found, and it is reasonable to suppose, with other authors (Willis, 1960), that repetitive trauma led to malignant transformation. T h e epithelial and mesothelial components of the polyp were apparently affected synchronously.…”

Morbidity and mortality of oesophageal perforation

“…Although there are some who feel that primary repair of the perforated cervical oesophagus is essential surgical practice (Rietz and Werner, 1959;Groves, 1966), most authors are of the opinion that antibiotic therapy and intravenous fluids alone are sufficient, provided suppurative complications are adequately drained (Korkis, 1952;Terracol and Sweet, 1958;Mathewson et al, 1962;Mengoli and Klassen, 1965). The results of conservative management in cervical perforations from this survey have supported the protagonists of this school of thought.…”

“…On the other hand, considerable controversy still remains in regard to the treatment of instrumental perforation, particularly when the pleura or peritoneum have not been breached (Terracol and Sweet, 1958;Mengoli and Klassen, 1965;Groves, 1966).…”

CT prediction of irresectability in esophageal carcinoma: value of additional patient positions and relation to patient outcome

“…This is a vestige of the dorsal mesogastrium explaining some potential mobility of the esophagus within this mesenterylike structure. The esophagus is capable of undergoing limited change of position in the anteroposterior plane and somewhat more extensive change in the transverse direction [13]. This applies especially to the esophagus below the carina and above the esophageal hiatus and thus for carcinomas located in the middle and lower thirds of the esophagus.…”