ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Will C. Sealy
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Flye, M. W.
Right arrow Articles by Sealy, W. C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Flye, M. W.
Right arrow Articles by Sealy, W. C.

Ann Thorac Surg 1975;19:677-687
© 1975 The Society of Thoracic Surgeons

Articles

Diffuse Spasm of the Esophagus

M. Wayne Flye, M.D.*, Will C. Sealy, M.D.

From the Division of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, N.C.

* Address reprint requests to Dr. Flye, Department of Surgery, Duke University Medical Center, Durham, N.C. 27710.

During the past ten years 7 men and 15 women with diffuse esophageal spasm have been seen at the Duke University Medical Center. Dysphagia and severe substernal pain were the two characteristic symptoms. Eleven of the 22 patients were treated with a long esophageal myotomy. Two had a diverticulum of the lower esophagus excised in addition, while 6 had an associated sliding hiatal hernia repaired. Three patients in whom the diagnosis was made retrospectively all had an epiphrenic diverticulum excised without a myotomy; in 1 an esophageal leak occurred. These 3 patients still have mild symptoms of their diffuse esophageal spasm.

The results of myotomy have been satisfactory. Although this operation does not correct the cause of the disorder, the improvement in symptoms makes it worthwhile in selected patients.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
H. C. Fernando, J. D. Luketich, J. Samphire, M. Alvelo-Rivera, N. A. Christie, P. O. Buenaventura, and R. J. Landreneau
Minimally Invasive Operation for Esophageal Diverticula
Ann. Thorac. Surg., December 1, 2005; 80(6): 2076 - 2080.
[Abstract] [Full Text] [PDF]

Home page
 ANGIOLOGYHome page
C.-S. Lin, M. Goldfischer, A. Sicular, G. Landais, and L. B. Cohen
Morphodynamics and Pathology of Blood Vessels III: Comparative Morphologic Study of Contraction of Smooth Muscle Cells of Hollow Viscera and its Application to Vasoconstriction and Vasospasm
Angiology, July 1, 1998; 49(7): 503 - 522.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. R. DeMeester
Surgery for Esophageal Motor Disorders
Ann. Thorac. Surg., September 1, 1982; 34(3): 225 - 229.
[PDF]

Home page
 Ann. Thorac. Surg.Home page
G. F. Murray
Operation for Motor Dysfunction of the Esophagus
Ann. Thorac. Surg., February 1, 1980; 29(2): 184 - 191.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. D. Henderson and F. G. Pearson
Reflux Control Following Extended Myotomy in Primary Disordered Motor Activity (Diffuse Spasm) of the Esophagus
Ann. Thorac. Surg., September 1, 1976; 22(3): 278 - 283.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1975 by The Society of Thoracic Surgeons.