RT Book, Section
A1 Louie, Brian E.
A1 Eric, Vallières
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105839926
T1 Esophagectomy for Primary or Secondary Motility Disorders
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105839926
RD 2024/04/18
AB Esophageal  resection  and  reconstruction  in  patients  with  primary  or  secondary  motility  disorders  of  the  esophagus  are  very  uncommon.  Often,  consideration  of  esophagectomy  is  the  final  decision  in  a  long  and  difficult  plan  of  care  by  both  the  gastroenterologist  and  esophageal  surgeon.  Fortunately,  the  majority  of  motility  disorder  patients  are  seen  in  expert  centers,  where  they  usually  undergo  extensive  evaluation  and  are  treated  appropriately  with  reasonable  palliation  of  their  symptoms.  Patients  who  are  not  well  palliated  usually  present  with  disabling  symptoms  associated  with  obstruction  or  pseudo­obstruction,  uncontrollable  pain  with  eating,  and/or  refractory  gastroesophageal  reflux  disease.  In  addition,  these  patients  may  have  undergone  not  one  but  several  prior  esophageal  and/or  gastroesophageal  surgeries.