A report on Esophagectomy

Surgical removal of the esophagus.
Diagram showing before and after an oesophago-gastrectomy
Diagram showing before and after a partial oesophagectomy
Diagram showing before and after a total oesophagectomy
An esophagectomy using the bowel (colon) to replace the esophagus

Surgical removal of all or parts of the esophagus.

- Esophagectomy
Surgical removal of the esophagus.

5 related topics with Alpha

Overall

A chest X-ray showing achalasia ( arrows point to the outline of the massively dilated esophagus )

Esophageal achalasia

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Failure of smooth muscle fibers to relax, which can cause the lower esophageal sphincter to remain closed.

Failure of smooth muscle fibers to relax, which can cause the lower esophageal sphincter to remain closed.

A chest X-ray showing achalasia ( arrows point to the outline of the massively dilated esophagus )
Transhiatal oesophagectomy specimen from a patient suffering from late-stage achalasia. Diverticulum at the left lower end of the oesophagus.
An axial CT image showing marked dilatation of the esophagus in a person with achalasia.
"Bird's beak" appearance and "megaesophagus", typical in achalasia.
Schematic of manometry in achalasia showing aperistaltic contractions, increased intraesophageal pressure, and failure of relaxation of the lower esophageal sphincter.
Image of a stomach which has undergone Fundoplomy

End-stage achalasia, typified by a massively dilated and tortuous oesophagus, may occur in patients previously treated but where further dilatation or myotomy fails to relieve dysphagia or prevent nutritional deterioration, and oesophagectomy may be the only option.

Endoscopic image of an esophageal adenocarcinoma

Esophageal cancer

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Cancer arising from the esophagus—the food pipe that runs between the throat and the stomach.

Cancer arising from the esophagus—the food pipe that runs between the throat and the stomach.

Endoscopic image of an esophageal adenocarcinoma
Esophageal cancer (lower part) as a result of Barrettʼs esophagus
Esophageal cancer as shown by a filling defect during an upper GI series
Esophageal stent for esophageal cancer
Esophageal stent for esophageal cancer
Before and after a total esophagectomy
Typical scar lines after the two main methods of surgery
Death from esophageal cancer per million persons in 2012
Endoscopic image of Barrett esophagus – a frequent precursor of esophageal adenocarcinoma
Endoscopy and radial endoscopic ultrasound images of a submucosal tumor in the central portion of the esophagus
Contrast CT scan showing an esophageal tumor (axial view)
Contrast CT scan showing an esophageal tumor (coronal view)
Esophageal cancer
Micrograph showing histopathological appearance of an esophageal adenocarcinoma (dark blue – upper-left of image) and normal squamous epithelium (upper-right of image) at H&E staining
T1, T2, and T3 stages of esophageal cancer
Stage T4 esophageal cancer
Esophageal cancer with spread to lymph nodes
Internal radiotherapy for esophageal cancer
Self-expandable metallic stents are sometimes used for palliative care

Otherwise, curative surgery of early-stage lesions may entail removal of all or part of the esophagus (esophagectomy), although this is a difficult operation with a relatively high risk of mortality or post-operative difficulties.

The digestive tract, with the esophagus marked in red

Esophagus

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Organ in vertebrates through which food passes, aided by peristaltic contractions, from the pharynx to the stomach.

Organ in vertebrates through which food passes, aided by peristaltic contractions, from the pharynx to the stomach.

The digestive tract, with the esophagus marked in red
The esophagus is constricted in three places.
A mass seen during an endoscopy and an ultrasound of the mass conducted during the endoscopy session.

Esophageal cancer is often managed with radiotherapy, chemotherapy, and may also be managed by partial surgical removal of the esophagus.

Digestive system surgery

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Digestive system surgery, or gastrointestinal surgery, can be divided into upper GI surgery and lower GI surgery.

Digestive system surgery, or gastrointestinal surgery, can be divided into upper GI surgery and lower GI surgery.

Esophagectomy

Cardiothoracic surgeon performs an operation.

Cardiothoracic surgery

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Field of medicine involved in surgical treatment of organs inside the thoracic cavity — generally treatment of conditions of the heart , lungs (lung disease), and other pleural or mediastinal structures.

Field of medicine involved in surgical treatment of organs inside the thoracic cavity — generally treatment of conditions of the heart , lungs (lung disease), and other pleural or mediastinal structures.

Cardiothoracic surgeon performs an operation.
Surgeon operating.
Two cardiac surgeons performing a cardiac surgery known as coronary artery bypass surgery. Note the use of a steel retractor to forcefully maintain the exposure of the patient's heart.

esophagectomy (removal of the esophagus)