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

This Article Alert me when this article is cited Alert me if a correction is posted 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 Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kamath, M. V. Articles by Pai, G. P. Search for Related Content PubMed PubMed Citation Articles by Kamath, M. V. Articles by Pai, G. P.

The Annals of Thoracic Surgery, Vol 43, 263-269, Copyright © 1987 by The Society of Thoracic Surgeons

ARTICLES

Esophageal mucocele: a complication of blind loop esophagus

MV Kamath, RG Ellison, JW Rubin, HV Moore and GP Pai

Mucocele of the bypassed esophagus is an unusual complication of esophageal replacement and has been described only in isolated references. This report is based on our experience with 6 patients in whom a mucocele developed following esophageal replacement. Esophageal replacement was performed on 37 patients over a 10-year period at the Medical College of Georgia Hospital. A symptomatic mucocele requiring excision developed in 3 patients with achalasia, 1 with congenital tracheoesophageal fistula, 1 with esophageal atresia, and 1 with inflammatory stricture. Conduits used included stomach (4), reversed gastric tube (1), and colon (1). Our experience indicates that conversion of a closed-loop esophagus into a symptomatic mucocele is more likely in the presence of functioning, chronically irritated mucosa. The clinical features were referable to the mucocele itself or respiratory embarrassment therefrom. Thoracic roentgenograms and computed tomographic scans were diagnostic in verifying the presence of the esophageal mucocele. All five mucoceles arose from squamous epithelium. One of 3 patients with achalasia in whom a mucocele developed following esophageal replacement had premalignant changes in the mucosa. Based on this experience, our treatment of choice is early, complete excision of the mucocele.

This article has been cited by other articles:

				L. Martinez and J. A. Tovar Ulcerated mucocele of the esophagus in a child Ann. Thorac. Surg., April 1, 2003; 75(4): 1310 - 1311. [Abstract] [Full Text] [PDF]

				S. Frese, R. M. Stein, J.-R. Kuster, and R. A. Schmid A large mediastinal tumor with spontaneous regression 30 years after esophageal bypass surgery Ann. Thorac. Surg., November 1, 2002; 74(5): 1711 - 1712. [Abstract] [Full Text] [PDF]

				O. Genc, R. K. Knight, A. G. Nicholson, and P. Goldstraw Adenocarcinoma arising in a retained esophageal remnant Ann. Thorac. Surg., December 1, 2001; 72(6): 2117 - 2119. [Abstract] [Full Text] [PDF]