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Anatomy Atlases: Illustrated Encyclopedia of Human Anatomic Variation: Opus IV: Organ Systems: Esophagus

Illustrated Encyclopedia of Human Anatomic Variation: Opus IV: Organ Systems: Digestive System and Spleen

Esophagus

Ronald A. Bergman, PhD
Adel K. Afifi, MD, MS
Ryosuke Miyauchi, MD

Peer Review Status: Internally Peer Reviewed


The upper part of the esophagus may communicate with the trachea by a congenital fistula, the result of arrested development in which this part of the foregut becomes divided into an alimentary and respiratory tube. This condition may be associated with atresia of the upper end of the esophagus.

Diverticula occasionally occur, especially on the posterior wall, and the esophagus may become considerably dilated just above the point where it pierces the diaphragm. Patches of the mucous membrane of the upper part of the esophagus are frequently found whose structure resembles the cardiac part of the stomach.

The right subclavian artery (arteria lusoria) may pass from left to right behind or in front of the esophagus or trachea.

Rarely, skeletal muscle may be found in the distal segment of the esophagus.

An anomalous lobe of the lung occasionally arises from the esophagus.


References

Adams, H.D. (1948) Diverticula of thoracic esophagus. J. Thoracic Surg. 17: 639-645.

Adams, H.D. (1964) Amyenteric achalasia of the esophagus. Surg., Gynecol. Obstet. 119:251-256.

Bortone, F. (1945) Esophageal diverticulum. Am. J. Surg. 70:64-67.

Bosher, Jr., L.H. and F.H. Taylor (195 1) Heterotopic gastric mucosa in the esophagus with ulceration and stricture formation. J. Thoracic Surg. 21:306-312.

Boyden, E.A., Bill, Jr., A.H. and S.A. Creighton. (1962) Presumptive ongin of a left lower accessory lung from an esophageal diverticulum. Surgery 52:323-329.

Brown, R.K. and E.C. Brown. (1950) Congenital esophageal. anomalies: Review of twenty-four cases and report of three. Surg., Gynecol. Obstet. 91:545-500.

Eliason, E.L., Tucker, G. and F.M. Thigpen. (1937) Esophageal diverticula: With a report of ten cases of the pulson type originating in the pharynx. Surgery 2:188-195.

Furstenberg, A.C. (1947) Diverticulum of the esophagus. Ann. Otol., Rhin., Laryng. 56:305-316

Gross, R.E., Neuhauser, E.B.D. and L.A. Longino. (1950) Thoracic diverticula which originate from the intestine. Ann. Surg. 131:363-375.

Kaufmann, C. (1883) Die Struma retropharyngo-oesophagus. Deutsche Z. Chir. 18:255-292.

Keith, A. and J.E. Spicer. (1907) Three cases of malformation of the tracheo-oesophageal septum. J. Anat. Physiol. 41:52-55.

Ladd, W.E. (1944) The surgical treatment of esophageal atresia and tracheoesophageal fistulas. New England J. Med. 230:625-637.

Langston, H.T., Tuttle, W.H. and T.B. Patton. (1950) Esophageal duplications. Arch. Surg. 61:949- 956.

Leven, L. (1888) Blinde Endigung des Halstheiles der Spiesenröhre und directe Fortsetzung ihrer Pars thoracica in die Luftröhre. Arch. Pathol. Anat. Physiol. Klin. Med. 114:553-556.

Luschka, H. von. (1869) Blinde Endigung des Halstheiles der Speiseröhre und Communication ihrer Pars thoracica mit der Luftröhre. Arch. Path. Anat. Physiol. Klin. Med. 47:378-381.

Mehnert, E. (1899) Ueber die klinische Bedeutung der esophagus und Aortenvariationen. Arch. f. Klin. Chir., Berlin 58:183-245.

Morley, J. (1945-46) Pharyngeal diverticula. Brit. J. Surg. 33:101-106.

Moynihan, B. (1927) Diverticula of the alimentary canal. Lancet 1:1061-1066.

Phelps, K.A. (1930) Congenital anomalies of the esophagus with a report of nine cases. Ann. Otol., Rhim., Laryng. 39:364-381

Raven, R.W. (1933) Pouches of the pharynx and oesophagus: With special reference to the embryological and morphological aspects. Brit. J. Surg. 21:235-256.

Roberts, K.D., Ivo, J.C. and J. McN. Inglis. (195 5) The management of congenital oesophageal atresia and tracheo-oesophageal fistula. Thorax 10:45-52.

Vandendorp, F., Lemaitre, G. and Cl. Belbenoit. (1951) Un cas de "dysphagia lusoria". Archives des Maladies de L'Appareil Digesttif et des Maladies de la Nutrition 40:1233-1236.

White, H. (1957) Roentgenology of congenital anomalies of the esophagus. Q. Bull. Northwestern University Medical School. 31:52-57.

Wilkie, D.P.D. and J.N.J. Hartley (1922) Pharyngeal diverticulum and its surgical treatment, with a record of two cases. Brit. J. Surg. 10:81-92.

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