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Ann Thorac Surg 1985;40:628-629
© 1985 The Society of Thoracic Surgeons

Articles

Closure of the Lower End of the Esophagus Following Esophagectomy

John R.T. Monson, F.R.C.S.I., Keith M. Shaw, M.D.*

From the Department of Cardiothoracic Surgery, Royal City of Dublin Hospital, Dublin, Ireland

Accepted for publication February 8, 1985.

* Address reprint requests to Dr. Shaw, Department of Cardiothoracic Surgery, Royal City of Dublin Hospital, Baggot St, Dublin 4, Ireland

Carcinoma of the middle third of the esophagus remains a major technical challenge in surgery. A speedy and safe method for dealing with the lower esophageal stump is described. After mobilization, the lower esophagus is denuded of its muscular fibers; the remaining mucosal tube is ligated and invaginated into the cardia by a pursestring suture.






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