Download Diseases of the Esophagus by Gaston R. Vantrappen M.D., Agg. H.O., Jan J. Hellemans M.D., PDF

By Gaston R. Vantrappen M.D., Agg. H.O., Jan J. Hellemans M.D., Agg. H.O. (auth.)

This publication goals to be a synthesis of our present wisdom concerning the common and pathological esophagus. even if a few first-class monographs on constrained elements of esophageal pathology can be found, a contemporary instruction manual treating the full of esophageal body structure and pathology is missing. We tried to provide the accrued fabric in this kind of approach that even the neophyte within the box wouldn't wander off within the wealth of knowledge. therefore we've got integrated a few illustrations reminiscent of classical radiological and endoscopic photographs, manometric tracings and simple graphs, which could appear superfluous for experts yet may be priceless to the reader who desires to be initiated within the topic. whilst we attempted to be rather whole which will make on hand to the esophageal professional a booklet of references, to which he can easily flip while confronted with infrequent illnesses or strange physiological or pathophysiological pheno­ mena. so one can in attaining either goals the authors usually supply their very own standpoint while confronted with controversal subject matters, whereas classical in addition to newer positive factors and ideas are pointed out and diverging evaluations discussed.

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Occasionally smooth muscle fibers emanate from the membraneous part of the left main bronchus and from the left pleura (bronchoesophageal and pleuroesophageal muscle). In contrast with the musculature elsewhere in the gastrointestinal tract, the inner, so-called circular muscle layer of the esophagus is thicker than the outer, longitudinal layer. It is as yet uncertain whether or not the circular layer receives fibers from the cricopharyngeal muscle. At any rate, the caudal horizontal fibers of this muscle surround the upper fibers of the esophagus and a tight connection certainly exists.

Towards the surface the nuclei appear shrunken and more or less deeply indented. Occasionally desintegration of the nucleus (N) occurs, leaving only remnants of the nuclear envelope (Fig. 9 10}. The topmost cell, facing the lumen (L) appears markedly flattened (Fig. 9 11 ). Cells from this superficial layer seem to separate from the underlying cells by rupture of the desmosomes (Fig. 9 10 , 11). This absence of desmosomal structures is in striking contrast with their abundance in the deeper layers of the stratum spinosum.

37, 225-246 (1965). NETTER, F. : Anatomy of the esophagus. The Ciba collection of medical illustrations, vol. 3: Digestive system, part I: Upper digestive tract (1959). PEDEN, J. , SOHNEIDER, C. , BICKEL, R. : Anatomic relations of the vagus nerves to the esophagus. Amer. J. Surg. 80, 32-34 (1950). SMITH, R. , TAYLOR, 1. : Observations of the intrinsic innervation of the human foetal oesophagus between the to-mm and 140 mm crown-rump length stages. Acta anat. (Basel) 81, 127-138 (1972). , TEXTER, E.

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