Operative management of achalasia of the oesophagus.

Autor: Mbembati NA; Department of Surgery, Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania., Lema LE, Kahamba JF, Mcharo ON
Jazyk: angličtina
Zdroj: East African medical journal [East Afr Med J] 1994 Jul; Vol. 71 (7), pp. 421-3.
Abstrakt: Twenty patients with achalasia of the oesophagus were managed in one thoracic surgical unit over a period of seven years. Eighteen of these were aged 16 to 40 years. There was a female:male ratio of 2:1. Dysphagia to both solids and liquids with diffuse bilateral parotid gland enlargement were the most common clinical features. All the patients had an oesophagomyotomy without an additional anti-reflux procedure. There was no mortality. The trans-thoracic approach for oesophagomyotomy was associated with better results without complications of gastro-oesophageal reflux. This approach is recommended and an additional routine anti-reflux procedure at the same sitting may be unnecessary.
Databáze: MEDLINE