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): Gordon F. Murray Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Murray, G. F. Search for Related Content PubMed PubMed Citation Articles by Murray, G. F.

Ann Thorac Surg 1980;29:184-191
© 1980 The Society of Thoracic Surgeons

---

Articles

Operation for Motor Dysfunction of the Esophagus

Division of Cardiothoracic Surgery, 108 Burnett-Womack Building 229H, University of North Carolina, Chapel Hill, NC 27514

Modern operative treatment of motor dysfunction of the esophagus began in 1949 with the recognition that anastomotic procedures that bypass or destroy the distal esophageal sphincter are associated with the development of reflux esophagitis and stricture. Thirty years later, reflux esophagitis related to esophagomyotomy or intrinsic esophageal disease remains the dominant concern and challenge.

This review examines the current status of operative procedures for the management of three important primary disorders of esophageal motility: achalasia, diffuse esophageal spasm, and scleroderma. Relief of esophageal obstruction by esophagomyotomy or reconstruction is the common surgical goal. The addition of a fundoplication procedure to discourage esophageal reflux remains controversial in each disorder. Esophageal resection may become necessary when stricture persists or esophagomyotomy fails to provide lasting relief of dysphagia.

This article has been cited by other articles:

				N. C. Poirier, R. Taillefer, P. Topart, and A. Duranceau Antireflux operations in patients with scleroderma Ann. Thorac. Surg., July 1, 1994; 58(1): 66 - 73. [Abstract] [PDF]

				G. F. Murray, J. W. Battaglini, B. A. Keagy, P. J. K. Starek, and B. R. Wilcox Selective Application of Fundoplication in Achalasia Ann. Thorac. Surg., March 1, 1984; 37(3): 185 - 188. [Abstract] [PDF]

				R. D. Henderson and D. E. Ryder Reflux Control Following Myotomy in Diffuse Esophageal Spasm Ann. Thorac. Surg., September 1, 1982; 34(3): 230 - 236. [Abstract] [PDF]