Thoracoscopic Esophageal Repair of a Spontaneous Barrett's Ulcer Perforation Hutan Ashrafian, MBBS, MRCS(Eng), Antonio Navarro-Sanchez, MD, LMS, Thanos.

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Presentation transcript:

Thoracoscopic Esophageal Repair of a Spontaneous Barrett's Ulcer Perforation Hutan Ashrafian, MBBS, MRCS(Eng), Antonio Navarro-Sanchez, MD, LMS, Thanos Athanasiou, MD, PhD, David I. Sherman, MD, FRCP, Alberto Isla, MD, FRCS The Annals of Thoracic Surgery Volume 99, Issue 1, Pages 331-333 (January 2015) DOI: 10.1016/j.athoracsur.2014.02.067 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomography (CT) scan demonstrating right thoracic debris (arrows) and the diagnosis of esophageal perforation. The Annals of Thoracic Surgery 2015 99, 331-333DOI: (10.1016/j.athoracsur.2014.02.067) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Intraoperative image demonstrating 3-cm longitudinal defect. (B) Thoracoscopic repair of the esophagus over a T-tube. The Annals of Thoracic Surgery 2015 99, 331-333DOI: (10.1016/j.athoracsur.2014.02.067) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A, B) Histologic sections of the perforated esophagus revealing Barrett's metaplastic glandular mucosa (“specialized epithelium”). It consists of globlet cells and columnar mucous cells that resemble gastric surface epithelium. (Hematoxylin-eosin stain; (A) 40 × magnification, (B) 200 × magnification.) The Annals of Thoracic Surgery 2015 99, 331-333DOI: (10.1016/j.athoracsur.2014.02.067) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions