OBSERVATIONS ON THE INTRINSIC BLOOD SUPPLY OF THE ESOPHAGUS
1950; American Medical Association; Volume: 61; Issue: 5 Linguagem: Inglês
10.1001/archsurg.1950.01250020952016
ISSN1538-3644
Autores Tópico(s)Gastroesophageal reflux and treatments
ResumoPRESENT interest in surgery of esophagus demands a knowledge of intramural blood supply to settle controversy about mobilization and to fix blame for occasional suture failure as a technical error if blood supply is found to be adequate. Divergent opinions regarding safety of wide mobilization of esophagus first directed our interest toward intramural arterial blood supply. Sweet 1 has cautioned that the strictly segmental blood supply must be considered in every resection to avoid necrosis of suture line and has advised that an anastomosis should not be performed more than 2 to 3 cm. below next highest vessel. Gross, 2 on other hand, has practiced wide mobilization and believes that esophagus may be freed with impunity by stripping entire intrathoracic portion of esophagus if necessary. The extrinsic arterial supply to esophagus has been studied carefully on several occasions
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