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Dysphagia
Oesophageal Carcinoma
Achalasia
GastroOesophageal Reflux Disease
Oesophageal Varices
Plummer Vinson Syndrome
Reflux Oesophagitis
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Position
- begins at level of 6th cervical vertebra
- lower border of cricoid cartilage
- passes through superior and posterior mediastinum
- inclines to left of midline through thorax
- lies in front of thoracic duct and midline vessels
- lies posterior to left atrium of heart
- passes through fibres of right crus of diaphragm on left side at level of 10th thoracic vertebra
Narrowings
- cricoid (15 cm from incisors)
- arch of aorta (22cm)
- left main bronchus (27cm)
- diaohragm (37-40cm)
Blood Supply
- receives blood from branches from inferior thyroid artery, aorta and also from left gastric artery
- venous drainage mainly into azygos vein
- inferiorly venous drainage goes to hepatic portal circulation
- given hepatic portal obstruction venous blood runs through veins of
oesophagus; these veins enlarge and are prone to rupture
Nerve Supply
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