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Radiology, Vol 167, 345-347, Copyright © 1988 by Radiological Society of North America

ARTICLES

Distal esophageal ballooning following Heller myotomy

SE Rubesin, M Kennedy, MS Levine, EF Rosato and I Laufer
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.

Eccentric ballooning of the distal esophagus was observed radiographically in 11 of 23 patients (48%) who underwent Heller myotomy for achalasia. While, to the authors' knowledge, ballooning at the site of myotomy incision has not been described previously in the radiologic literature, it should be recognized as a normal and frequent postoperative finding. Radiologists should be aware of this finding so that it is not mistaken for postoperative abnormalities following esophagomyotomy or an epiphrenic diverticulum.


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