1958
DOI: 10.3181/00379727-97-23809
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Esophagostomy in the Dog Allowing Natural Feeding

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Cited by 16 publications
(10 citation statements)
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“…Further, in the hands of other investigators, the procedure carried an unacceptable mortality rate, reaching as high as 50% (Dragstedt & Mullenix 1931). It was subsequently shown that postoperative sepsis could be minimized, and the mortality rate consequently reduced by dividing the procedure into two stages, with incision into the oesophageal lumen preceded several days by surgical elevation of the cervical oesophagus to an external or immediate subcutaneous position (Dragstedt & Mullenix 1931, Friedman 1951, Komarov & Marks 1958. In leaving the posterior (dorsal) oesophageal wall intact between the oesophageal limbs, investigators were able to achieve some degree of natural feeding in their animals (Friedman 1951, Komarov & Marks 1958, Gantt et al 1968 while retaining the ability to obstruct the distal limb for sham feeding experiments; however, leakage of saliva, ingested fluid, and gastric refluxate through the fistula remained significant problems, resulting in excessive loss of electrolytes and development of perifistular dermatitis.…”
Section: Discussionmentioning
confidence: 99%
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“…Further, in the hands of other investigators, the procedure carried an unacceptable mortality rate, reaching as high as 50% (Dragstedt & Mullenix 1931). It was subsequently shown that postoperative sepsis could be minimized, and the mortality rate consequently reduced by dividing the procedure into two stages, with incision into the oesophageal lumen preceded several days by surgical elevation of the cervical oesophagus to an external or immediate subcutaneous position (Dragstedt & Mullenix 1931, Friedman 1951, Komarov & Marks 1958. In leaving the posterior (dorsal) oesophageal wall intact between the oesophageal limbs, investigators were able to achieve some degree of natural feeding in their animals (Friedman 1951, Komarov & Marks 1958, Gantt et al 1968 while retaining the ability to obstruct the distal limb for sham feeding experiments; however, leakage of saliva, ingested fluid, and gastric refluxate through the fistula remained significant problems, resulting in excessive loss of electrolytes and development of perifistular dermatitis.…”
Section: Discussionmentioning
confidence: 99%
“…It was subsequently shown that postoperative sepsis could be minimized, and the mortality rate consequently reduced by dividing the procedure into two stages, with incision into the oesophageal lumen preceded several days by surgical elevation of the cervical oesophagus to an external or immediate subcutaneous position (Dragstedt & Mullenix 1931, Friedman 1951, Komarov & Marks 1958. In leaving the posterior (dorsal) oesophageal wall intact between the oesophageal limbs, investigators were able to achieve some degree of natural feeding in their animals (Friedman 1951, Komarov & Marks 1958, Gantt et al 1968 while retaining the ability to obstruct the distal limb for sham feeding experiments; however, leakage of saliva, ingested fluid, and gastric refluxate through the fistula remained significant problems, resulting in excessive loss of electrolytes and development of perifistular dermatitis. In an effort to achieve complete feeding self-sufficiency of subjects, and to address the problem of fistula shrinkage, Olbe (1959) developed a method of oesophagostomy that entailed the insertion of a permanent cannula into a segment of the cervical oesophagus isolated within a bipedicle skin flap created in a prior surgery.…”
Section: Discussionmentioning
confidence: 99%
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“…Then followed the first step of constructing an oesophagostomy by mobilizing the oesophageal wall to the skin. A modi-' fication of the procedure described by Komarov and Marks [6] was used. We entered the conglomerate consisting of vagus, arteria carotis communis and vena jugularis interna laterodorsally, and proceeded directly to the paravertebral fascia in order to avoid any contact with the vagal nerve.…”
Section: Methodsmentioning
confidence: 99%
“…Oesophagostomy as described by Komarov and Marks [6] is a wellknown and practical approach for studying gastric secretion in dogs without affecting the stomach wall. As the vagal nerve has a very close relation to the cervical oesophagus, and as it is of outstanding importance for gastric phys iology, we thought it would be worthwhile to assure that the procedure of oesophagostomy does not harm the vagal innervation of the stomach.…”
Section: Introductionmentioning
confidence: 99%