Equis ISSN 2398-2977

Esophagus: surgical approaches

Contributor(s): Stephen Adams, Graham Munroe

Introduction

  • There are 3 surgical approaches to the equine esophagus:
    • Ventral cervical.
    • Ventrolateral.
    • Thoracotomy.
  • Their use is dictated by the anatomic location of the lesion and the purpose of the surgery.
  • See also:

Uses

  • Ventral cervical: surgery of the proximal three-quarters of the cervical esophagus.
  • Ventrolateral: recommended for placing a feeding tube and for approaching the distal one-third of the cervical esophagus.
  • Thoracotomy  Thorax: thoracotomy  : to approach the thoracic esophagus.

Advantages

  • A choice of approach, guided by the level of esophageal lesion and prospective surgical technique.

Disadvantages

  • Esophagostomy and selected esophagotomy incisions can be done on standing sedated horse   Anesthesia: standing chemical restraint  .
  • General anesthesia recommended for most esophagotomy incisions.
  • Different approaches required for different anatomical levels of esophagus.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good for approach.
  • Dependent upon primary problem.

Further Reading

Publications

Refereed papers


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