HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Abdulla A. Attum John R. Hankins Joseph S. McLaughlin Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Attum, A. A. Articles by McLaughlin, J. S. Search for Related Content PubMed PubMed Citation Articles by Attum, A. A. Articles by McLaughlin, J. S.

Ann Thorac Surg 1979;28:126-132
© 1979 The Society of Thoracic Surgeons

---

Articles

Circular Myotomy as an Aid to Resection and End-to-End Anastomosis of the Esophagus

From the Division of Thoracic and Cardiovascular Surgery, University of Maryland School of Medicine, Baltimore, MD

^* Address reprint requests to Dr. Hankins, University of Maryland Hospital, Baltimore, MD 21201

Segments ranging from 40 to 70% of the thoracic esophagus were resected in 80 mongrel dogs. End-to-end anastomosis was effected after circular myotomy either proximal or distal, or both proximal and distal, to the anastomosis.

Among dogs undergoing resection of 60% of the esophagus, distal myotomy enabled 6 of 8 animals to survive, and combined proximal and distal myotomy permitted 8 of 10 to survive. Cineesophagography was performed in a majority of the 50 surviving animals and showed no appreciable delay of peristalsis at the myotomy sites. When these sites were examined at postmortem examination up to 13 months after operation, 1 dog showed a small diverticulum but none showed dilatation or stricture.

It is concluded that circular myotomy holds real promise as a means of extending the clinical application of esophageal resection with end-to-end anastomosis.

This article has been cited by other articles:

				J. R. Hankins, H. S. Ormsbee III, and J. S. McLaughlin Circular Esophageal Myotomy in the Rhesus Monkey: Anatomical and Physiological Effects Ann. Thorac. Surg., September 1, 1983; 36(3): 258 - 264. [Abstract] [PDF]