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SOME PROBLEMS IN OESOPHAGEAL SURGERY
Author(s) -
Robb Douglas
Publication year - 1950
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1950.tb03736.x
Subject(s) - medicine , cardiospasm , regurgitation (circulation) , diaphragmatic hernia , surgery , gastrostomy , general surgery , diaphragmatic breathing , hernia , peptic ulcer , esophagus , intensive care medicine , alternative medicine , pathology
Summary The problems of exact diagnosis, the correct treatment of advanced cardiospasm, and the management of acid regurgitation leading to oesophagitis and peptic ulcer are discussed. It is suggested that it is necessary to use all available methods of diagnosis before deciding on treatment. That while Heller's operation with certain safeguards is probably the best procedure for advanced cardiospasm, it is not wholly reliable, and should notbe resorted to lightly. That a flap of gastric mucosa might be useful in checking reflux after resection and oesophago gastrostomy. That a graft of diaphragmatic tissue might be useful in the fortification of an otherwise doubtful repair of a hiatus hernia.