Atlas of Esophageal Disease and Intervention: A Multidisciplinary Approach

240 Pages·2015·20.107 MB·English

by  Shanda H. Blackmon, Karen J. Dickinson (eds.)

Shanda H. Blackmon
Karen J. Dickinson Editors
Atlas of Esophageal
Disease and Intervention
A Multidisciplinary
Approach
123
Atlas of Esophageal Disease and Intervention

Shanda H. Blackmon (cid:129) Karen J. Dickinson
Editors
Atlas of Esophageal Disease
and Intervention
A Multidisciplinary Approach
Editors
Shanda H. Blackmon, MD, MPH, FACS Karen J. Dickinson, MBBS, BSc, MD, FRCS
Associate Professor Division of General Thoracic Surgery
Division of General Thoracic Surgery Mayo Clinic
Mayo Clinic Rochester , MN
Rochester , MN USA
USA
ISBN 978-1-4939-3087-6 ISBN 978-1-4939-3088-3 (eBook)
DOI 10.1007/978-1-4939-3088-3
Library of Congress Control Number: 2015954726
Springer New York Heidelberg Dordrecht London
© Springer Science+Business Media New York 2015
T his work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of
the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation,
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now known or hereafter developed.
T he use of general descriptive names, registered names, trademarks, service marks, etc. in this publication
does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant
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T he publisher, the authors and the editors are safe to assume that the advice and information in this book
are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the
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or omissions that may have been made.
Printed on acid-free paper
Springer Science+Business Media LLC New York is part of Springer Science+Business Media
(www.springer.com)
This book is dedicated to my husband,
Matt Blackmon, my partners in practice, and
my esophageal support group; for the years
of dedication, support, and love. Without
such teams, caring for these patients would
be impossible.

Pref ace
T his atlas began when I was in my fi rst year of clinical practice. As I began to
develop my skills in endoluminal technology, I realized there was no single resource
to guide me. There were several moments through these years when it became clear
that one specialty may not always understand important facts from another specialty
regarding the disease they both treat. I distinctly remember speaking to a patient
after an esophagectomy for cancer and having the patient tell me his gastroenterolo-
gist told him I may have resected the vagal nerve, thus giving him a dumping
s yndrome. I responded by stating “I certainly hope I resected it, because that is part
of the surgery!” I started a multidisciplinary tumor board to enhance learning and
communication between the specialties, focusing on the diseases rather than keep-
ing it specialty-specifi c. I made every attempt to learn all aspects of caring for
patients with esophageal disease.
T his book is meant to be a single reference for anyone caring for patients with
esophageal disease. When separate specialties learn to think like the other, patients
benefi t. Surgery today is becoming less invasive and more endoluminal. Most
p rocedures I perform today were not performed when I was a resident 10 years ago.
Learning new technology is diffi cult especially when the new skill requires a
specialist to move toward another specialty or “cross a line.” A common language,
understanding, philosophy, and terminology can enhance communication, thus
improving patient care.
Rochester, MN, USA Shanda H. Blackmon, MD, MPH, FACS
vii

Acknowledgments
T hanks to Blythe Gorman, MD; Puja Guar, MD; and Min P. Kim, MD, for their
contributions.
T hanks to Mary Schwartz, MD, Professor of Pathology, Weill Cornell Medical
College, Houston Methodist Hospital, Houston, TX.
Thanks to Dr. K. R. Shen, Division of General Thoracic Surgery, Mayo Clinic,
Rochester, MN, USA, for the colonic reconstruction fi gures and images.
Thanks to Dr. Michael Klebuc, Centre for Facial Paralysis and Functional
Restoration, Houston Methodist Hospital, Houston, TX, for Figure 10.25d.
T hanks to Dr. Stephen, W. Trenkner, Department of Radiology, Mayo Clinic.
Rochester, MN, for the radiological images of eosinophilic esophagitis.
Thanks to Dr. Louis M. Wong Kee Song, Department of Gastroenterology and
Hepatology, Mayo Clinic, Rochester, MN, for the endoscopic images of esophageal
perforation treated with Ovesco clips.
Thanks to Dr. Jane Matsumoto, Dr. Joel Fletcher and Dr. Jonathan Morris,
Department of Radiology, Mayo Clinic, Rochester MN for their help with planning
and printing 3-D models of the esophagus and surrounding anatomy, and for their
help with the text pertaining to this in the Radiology chapter.
ix