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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 on theme: "Thoracoscopic Esophageal Repair of a Spontaneous Barrett's Ulcer Perforation  Hutan Ashrafian, MBBS, MRCS(Eng), Antonio Navarro-Sanchez, MD, LMS, Thanos."— Presentation transcript:

1 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 (January 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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

3 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  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 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  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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