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ARTICLE |

Cervical Esophagostomy:  An Improved Technique for Alimentation of the Debilitated Patient

Mario J. Acquarelli, MD; Gary Fenno, MD; Paul H. Ward, MD
Arch Otolaryngol. 1972;96(5):453-456. doi:10.1001/archotol.1972.00770090685011.
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Cervical esophagostomy is an effective method of providing long-term tubal alimentation for the chronically ill and debilitated patient. Elimination of an unsightly feeding tube and unpleasant irritation to the nose and upper-airway passages contributes to the patient's comfort and wellbeing. Cervical esophagostomy eliminates the inconveniences of gastrostomy and is not accompanied by skin irritation caused by regurgitation of food. The technique is superior to and should, in the future, replace gastrostomy for patients with swallowing problems. The many advantages discussed far surpass the few complications encountered. New modifications of the technique have lessened the incidence of complications, which should lead to greater acceptance of the procedure.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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