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Peer-reviewed veterinary case report

Esophagomyotomy and esophagopexy to create a diverticulum for treatment of chronic esophageal stricture in 2 horses.

Journal:
Veterinary surgery : VS
Year:
2001
Authors:
Lillich, J D et al.
Affiliation:
Department of Clinical Sciences · United States
Species:
horse

Plain-English summary

In this study, two horses with a long-term problem called esophageal stricture (a narrowing of the esophagus) were treated using a surgical procedure. The surgery involved cutting the muscle layer of the esophagus and then attaching it to nearby muscles to create a new space, or diverticulum, which helped relieve the blockage. After the surgery, both horses showed improvement and were able to eat their regular diets without any further issues. The treatment was successful in resolving their symptoms.

Abstract

We report use of esophagomyotomy and esophagopexy to create a diverticulum for relief of chronic type I esophageal stricture in 2 horses. After esophagomyotomy, the mucosa was dissected free from the muscularis for approximately 180 degrees around the myotomy. Then, the tunica muscularis of esophagus was sutured to the sternocephalicus muscle ventrally and the periesophageal tissues dorsally to create a diverticulum without disruption of the esophageal mucosa. Clinical signs of esophageal stricture were relieved, and the horses were fed normal diets without further esophageal obstruction.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/11555820/