Jad M. Abdelsattar, Moustafa M. El Khatib, T. K. Pandian, Samuel J. Allen, D. Farley
{"title":"Esophagus","authors":"Jad M. Abdelsattar, Moustafa M. El Khatib, T. K. Pandian, Samuel J. Allen, D. Farley","doi":"10.1093/med/9780190650506.003.0007","DOIUrl":null,"url":null,"abstract":"The esophagus is a hollow muscular tube approximately 25 cm in length, extending from the cricopharyngeus muscle to the gastroesophageal junction at the gastric cardia. It is the only organ that uses peristalsis. Achalasia is defined as failure of lower esophageal sphincter relaxation with concurrent esophageal aperistalsis. Esophageal manometry is the standard for diagnosing achalasia and DES. Achalasia is managed surgically with a Heller myotomy. Esophageal surgery may result in an iatrogenic perforation, thoracic duct injury, or anastomotic leak.","PeriodicalId":102588,"journal":{"name":"Mayo Clinic General Surgery","volume":" 7","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Mayo Clinic General Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/med/9780190650506.003.0007","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
The esophagus is a hollow muscular tube approximately 25 cm in length, extending from the cricopharyngeus muscle to the gastroesophageal junction at the gastric cardia. It is the only organ that uses peristalsis. Achalasia is defined as failure of lower esophageal sphincter relaxation with concurrent esophageal aperistalsis. Esophageal manometry is the standard for diagnosing achalasia and DES. Achalasia is managed surgically with a Heller myotomy. Esophageal surgery may result in an iatrogenic perforation, thoracic duct injury, or anastomotic leak.
食管是一条长约 25 厘米的空心肌管,从环咽肌一直延伸到胃贲门处的胃食管交界处。它是唯一能进行蠕动的器官。食管失弛缓症是指食管下端括约肌松弛失败,同时伴有食管蠕动。食管测压是诊断贲门失弛缓症和 DES 的标准。贲门失弛缓症可以通过海勒肌切开术进行手术治疗。食管手术可能会导致先天性穿孔、胸导管损伤或吻合口漏。