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The Annals of Thoracic Surgery, Vol 39, 476-477, Copyright © 1985 by The Society of Thoracic Surgeons

ARTICLES

Reversible total esophageal exclusion

RJ Lewis and GE Sisler

A 23-year-old man with miliary tuberculosis had severe esophageal hemorrhage secondary to eroding tuberculous nodes. Balloon tamponade and packing with gauze did not alter the profuse bleeding. Empyema of the right thorax, massive mediastinal nodes, an unknown site of bleeding in the esophagus, and diffuse pulmonary involvement with tuberculosis precluded a thoracotomy. Because of widespread peritoneal tuberculosis, permanent esophageal exclusion by ligation was rejected as bowel interposition would have been extremely difficult at a later time. Reversible total esophageal exclusion was successfully utilized.




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Copyright © 1985 by The Society of Thoracic Surgeons.