Endoesophageal pull through. A technique for the treatment of XXXX of the @entity418 and lower esophagus.

@entity1 @entity834 @entity5 @entity254 @entity957 @entity418 @entity86 @entity420
Transthoracic and extrathoracic @entity5 of the lower esophagus and @entity418 each have advantages and drawbacks; the trauma of thoracotomy must be balanced against that of blunt mediastinal extraction of the esophagus. A different surgical approach is proposed in this paper, avoiding both thoracotomy and encroachment upon thoracic mediastinal structures. This technique is based on the @entity5 and the esophageal mucosa above it as a distinct anatomic layer by blunt dissection through separate abdominal and neck incisions. This is followed by pulling upward a segment of stomach (or colon) through the esophageal muscular tunnel into the neck for a cervical @entity254 . This endoesophageal pull through (EEPT) approach has been used in the surgical treatment of a total of ten @entity1 , six with @entity420 of the @entity418 and four with @entity957 of the lower esophagus. In nine @entity1 the stomach, and in one @entity1 the left colon, was brought to the neck to reestablish gastrointestinal (GI) continuity. The operation was well tolerated. There was no excessive @entity86 , and there was no in-hospital mortality up to 30 days. The major postoperative complication was cervical @entity834 seen in four @entity1 . The EEPT technique is a palliative approach for @entity5 of the lower esophagus and @entity418 , comparing favorably with the standard extrathoracic or transthoracic transhiatal procedures.
