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Ann Thorac Surg 2000;69:1609-1611
© 2000 The Society of Thoracic Surgeons


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Repair of esophageal perforation after treatment for achalasia

Moria Urbani, MDa, Douglas J. Mathisen, MDa

a General Thoracic Surgical Unit, Massachusetts General Hospital, Boston, Massachusetts, USA

Address reprint requests to Dr Mathisen, General Thoracic Surgical Unit, Massachusetts General Hospital, 32 Fruit St, Blake 1570, Boston, MA 02114
e-mail: dmathisen{at}partners.org

Esophageal perforation after treatment for achalasia is a devastating complication. Successful closure of the perforation and relief of the obstruction from achalasia are paramount. This can be accomplished by careful closure of the mucosa. The mucosal closure is buttressed by a pedicled intercostal muscle carefully sewn to the edges of the muscular defect. This approach deals effectively with the perforation and maintains the myotomy for relief of esophageal obstruction from achalasia.




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Ann. Thorac. Surg.Home page
C. J. Brinster, S. Singhal, L. Lee, M. B. Marshall, L. R. Kaiser, and J. C. Kucharczuk
Evolving options in the management of esophageal perforation
Ann. Thorac. Surg., April 1, 2004; 77(4): 1475 - 1483.
[Abstract] [Full Text] [PDF]




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