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POSTOPERATIVE MANAGEMENT OF PATIENTS UNDERGOING TRANSTHORACIC GASTROESOPHAGEAL OPERATIONS

CHARLES B. PUESTOW, M.D.; MAX S. SADOVE, M.D.; CHARLES ALLISON, M.D.
Arch Surg. 1949;59(3):734-741. doi:10.1001/archsurg.1949.01240040742033.
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ABSTRACT

IT WAS not many years ago that a famous American surgeon made the statement that carcinoma of the esophagus is beyond the realm of surgical therapy. It is only in recent years that malignant lesions of the cardiac end of the stomach which have invaded the lower esophagus have been completely removed by operative means. The surgeon is indebted to the tremendous advances in anesthesiology and to progress in the field of antibiotics for his opportunity to attack such lesions. They have enabled him to open the chest and mediastinum, considerably diminishing the serious dangers with which he formerly was confronted. The availability of blood in quantities sufficient to replace losses as they are encountered diminishes the danger of hemorrhagic shock. Although these advances have made transthoracic procedures on the stomach and esophagus justifiable, such operations still carry a high mortality and morbidity. Several factors are contributory. Most patients who

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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