Surgery of the Esophagus

  • Bernard M. Jaffe

Abstract

The esophagus courses from the pharynx to the stomach and is divided arbitrarily into four segments. The pharyngoesophagus is that segment which intervenes between the laryngopharynx and the upper border of the cricopharyngeus muscle. This latter structure represents the esophageal introitus. The cervical esophagus begins at the inferior border of the first thoracic vertebral body and extends caudally for 5 to 6 cm. The thoracic esophagus spans the posterior mediastinum. It includes the bronchoaortic constriction and the superior and inferior dilations above and below. A second constriction is present at the diaphragm. The abdominal esophagus extends for 1 to 6 cm below the diaphragm and ends at the esophagogastric junction. This segment of the esophagus includes the lower esophageal sphincter. The arterial supply and venous and lymphatic drainage (see Figs. 12–1 and 12–2) are critical to successful surgery of the esophagus.

Keywords

Ischemia Adenocarcinoma Assure Barium Luminal 

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Copyright information

© Springer Science+Business Media New York 2002

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  • Bernard M. Jaffe

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