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Ann Thorac Surg 1977;23:409-416
© 1977 The Society of Thoracic Surgeons

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Articles

New Trends in Esophageal Replacement for Benign Disease

Department of Surgery, Section of Thoracic Surgery, The University of Michigan Medical Center, Ann Arbor, MI.

^* Address reprint requests to Dr. Orringer, C-7175 University Hospital, Ann Arbor, MI 48109.

In the past three years 21 patients have required esophageal replacement for benign disease: 6 patients with caustic stricture, 5 with reflux esophagitis, 5 with neuromotor abnormalities, 2 with strictures following radiation therapy, 1 with iatrogenic perforation, 1 with monilial esophagitis, and 1 with esophageal atresia. Esophageal substitution was achieved using isoperistaltic left colon in 17 patients and stomach in 4. The preoperative evaluation, postoperative complications, and results of esophageal replacement in these patients are discussed. Changing trends in the benign conditions requiring esophageal substitution are reviewed.

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