Abstrakt: |
This report has to do with a relatively recent series of patients with benign obstructions of the lower esophagus all fundamentally of motor origin. Most of the patients have had the disease for a long time and have had many types of nonsurgical care. Often, therefore, when they have presented themselves for surgical treatment secondary complications of a morphological nature have been present, such as inflammation, ulceration, dilatation, recent scar formation and severe malnutrition. As evidence of the frequency and the importance of this condition, we shall report our experience with 23 patients who have been referred to the State University of Iowa hospitals for surgical care in a period of slightly over two years. The fact that the patients have come from a relatively limited geographic area of more or less the same genetic stock with a relatively similar environmental situation lends homogeneity to the group. We shall not, |