STEP 4Esophageal transection

The mucosal layer of the esophagus is completely divided, with the posterior muscular layer left intact (A-1). The posterior muscle layer is preserved to prevent twisting, stricture, and leakage. The divided esophageal varices should not be ligated, because ligation of the divided varices may cause postoperative stenosis.

Posterior mucosal layer is sutured using 4-0 or 5-0 Vicryl (A-2).

Anterior mucosal layer is sutured (A-3). About 50-70 interrupted sutures are placed in total, and the divided varices are occluded with sutures.

After the muscle layer of 4-0 Ti-Cron is completed, a nasogastric tube is left in the stomach (A-4).

Esophageal transection 2

Was this article helpful?

0 0
How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

Get My Free Ebook

Post a comment