[Fistulae in esophageal surgery. (Solidity of the esophageal wall and the role of infection)].
The strength of the eosophageal wall has been tested in 20 autopsy specimens: it proved to be as resistant as the stomach and the jejunum. It dépends as elsewhere in the digestive tract on the deep layer of the mucosa (Halstedt's submucosa): the success of an anastomosis depends on the passage of sutures through this submucosa. Vascularization does not seem to be a problem, provided certain precautions are taken. The necrotizing properties of saliva and infection especially in cancerous surgery might be the main causes of fistulas.
D004935:Esophageal Diseases / Q000150:complications; D004947:Esophagus / Q000033:anatomy & histology / Q000601:surgery*; D006801:Humans; D007239:Infections / Q000150:complications; D011183:Postoperative Complications / Q000209:etiology*
Essai sur les fistules en chirurgie oesophagienne. (Solidité de la paroi oesophagienne et rôle de l'infection)