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The Esophagus
Vic Vernenkar, D.ODepartment of SurgerySt. Barnabas Hospital
 
 
Historical Aspects
The earliest esophageal procedures werelimited to the cervical region (removal of foreign bodies-1863)Modified ureteroscope used to diagnosecarcinoma of the thoracic esophagus-1868Esophagoscopy with distal light sourcedeveloped around 1900Flexible fiber-optic esophagoscopy-1964
 
 
Anatomy
A hollow muscular tube approximately 25 cm in lengthdivided into four segments
Pharyngoesophageal, Cervical, Thoracic and Abdominal
The cervical esophagus is a midline structure positioned posterior and slightly to the left of the tracheaThe thoracic esophagus passes into the posterior mediastinumcontinuing on the left side of the mainstem bronchus andeventually enters the abdomen through the crus in thediaphragmThe abdominal esophagus attaches to the cardia (or EG junction) of the stomach (is of variable length)
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