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The Esophagus

Esophageal surgery is performed to treat esophageal cancer, motility disorders including dysphagia and achalasia (swallowing disorders) and esophageal diverticula.   The first step is to accurately diagnose the esophageal disorder.  This requires a physical exam, history and comprehensive work up of tests which may include:

    -chest x-rays
    -PET scan
    -CT scan
    -barium swallow or esophagram
    -endoscopic ultrasound (EUS)
    -MRI

Once the diagnosis is determined your surgeon will discuss with you the best options for successful treatment.  If the diagnosis is esophageal cancer, then treatment may include a combination of surgery, radiation and/or chemotherapy.   When there is a motility disorder not related to tumor, surgical intervention is often the primary method of treatment.   Minimally invasive surgical techniques are employed whenever applicable.

 Procedures:    
 Biopsies  Laparoscopy  Esophagectomy
 Esophagoscopy  Thoracoscopy  Esophagogastrectomy

Biopsies:

Abnormalities in the esophagus can be due to many things. Some are primary esophageal cancers, others are the result of malignancies from elsewhere in the body and others are noncancerous or benign. A biopsy obtains a tissue sample that can be sent to the pathology lab for diagnosis. Biopsies can be obtained through:  Esophagoscopy, Laparoscopy or Thoracoscopy.

Esophagoscopy:

A procedure where a thin scope is introduced through the mouth and passed down the esophagus. This allows for viewing of the esophageal lining and obtaining biopsies or small tissue samples for closer examination by the pathologist.

Laparoscopy:

A procedure where a thin scope is placed through an incision in the abdomen to examine the organs and obtain tissue samples. It allows for close examination of the distal esophagus and of the stomach.

Thoracoscopy

A procedure where a thin scope is inserted through an incision in the chest wall to allow for visual inspection of suspected tumors in the chest, including the upper to middle esophagus and then a biopsy is taken of any suspicious areas.

Esophagectomy:

The procedure where the part of the esophagus containing the tumor is removed and the remaining healthy part of the esophagus is reattached to the stomach.

Esophagogastrectomy:

Is the procedure where part of the esophagus and part of the stomach is removed because of disease and the remaining healthy esophagus and stomach are reattached.

 

For more information about the esophagus visit:


Utah Cardiothoracic Surgery

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Division of Cardiothoracic Surgery
University of Utah, SOM 3C-127
30 North 1900 East
Salt Lake City, Utah 84132
(801) 581-5311
Fax: (801) 585-3936
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