Operative management of achalasia of the esophagus.
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Date
1994
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
East African medical journal
Abstract
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.
Description
Keywords
Management of achalasia, Oesophagus
Citation
Mbembati, N.A., Lema, L.E., Kahamba, J.F. and Mcharo, O.N., 1994. Operative management of achalasia of the oesophagus. East African medical journal, 71(7), pp.421-423.