Cinefluorographic and Manometric Evaluation of the Motor Function of the Esophagus Following Segmental Resection in Newborn Dogs

Autor: Gatewood Om, John J. Vanhoutte, Talbert Jl, Haller Ja, Andrew F. Brooker
Rok vydání: 1966
Předmět:
Zdroj: Radiology. 86:718-722
ISSN: 1527-1315
0033-8419
DOI: 10.1148/86.4.718
Popis: The most common long-term sequelae encountered in patients with reconstructions for esophageal atresia and tracheoesophageal fistula are dysphagia and recurrent pneumonia. Earlier observers have considered these secondary to narrowing at the site of the anastomosis (7, 9, 10). More recent observations have demonstrated that a correlation does not always exist between the size of the lumen of the esophagus at the anastomosis and the patient's clinical symptoms (2, 5, 8). Delayed emptying of the esophagus below the anastomosis has also been noted (2, 8). Abnormal motility patterns in the esophagus distal to the site of surgical intervention have been roentgenographically and manometrically demonstrated by several authors (2, 4, 5, 8, 11). Two explanations for this abnormal behavior have been advanced : (a) it results from a coexistent congenital neuromuscular abnormality of the esophagus, and (b) it is the consequence of trauma to the vagus nerves at the time of surgical reconstruction (2, 8). The following...
Databáze: OpenAIRE