New Operation for Distal Esophageal Stricture

Severe peptic oesophagitis

“…This occurred in 13 out of 16 such patients, followed up for more than four years postoperatively and not needing dilatation of stricture during the last two years of follow up. Resection with colon replacement is therefore reserved for those with virtually complete stricture, although even here there may be a place for the more conservative operation recommended by Thal, Hatafuku, and Kurtzman (1965).…”

Evaluation of intraluminal pressure in cystorrhaphies with and without intestinal serosal patch supplementation from canine cadavers

“…. Serosal patching has being described as a well succeeded supplemental technique when employed to different organs and species 1,5,8,[10][11][12][13][14][15][16][18][19][20] . However, one study showed that the use of a serosal patch over intestinal anastomosis did not increase the survival of dogs with peritonitis, when compared to individuals that did not receive such supplementation 15 .…”

“…In addition, mesothelial cells and vessels from the serosa provide healing support to the diseased tissue 9 . Serosal patching has being described as a supplemental technique for the correction of abdominal and caudal thoracic esophageal defects 10,11 ; however, it has being mainly recommended in intestinal diseases [12][13][14] . In one study, the use of a serosal patch over intestinal anastomosis did not increase the survival of dogs with peritonitis, when compared to individuals that did not receive such supplementation 15 .…”

When did the esophagus start shrinking? The history of the short esophagus

“…. the dilatability of these stenoses became evident.’ Plasty: Thal et al 36 . created a well‐known procedure represented by an esophagogastroplasty of the stricture covered with a fundic patch to treat problems of the esophagogastric junction, including SE. Bypass: Detour of the stricture was popularized by Menguy 37 using a procedure early described by Heyrovsky 39 consisting in an abdominal laterolateral anastomosis between the esophagus and the gastric fundus. Interposition: Resection of the stricture and interposition of a jejunal segment were created and masterized by Merendino et al 39 .…”