Advanced megaesophagus with recurrent dysphagia following initial surgical treatment.
The results of the surgical treatment of twenty patients with advanced megaesophagus who had undergone previous treatment are presented. After the previous operation, the asymptomatic period was less than five years in mot cases; symptoms included dysphagia (100%), regurgitation (65%), heartburn (50%), pain (45%), excess saliva (20%) and palpitations (10%). The definitive treatment was cervico-abdominal esophagectomy (45%), distal esophagectomy (20%), Thal-Hatafuku's operation (15%) and miscellaneous (15%). In our experience, the best procedures are cervico-abdominal esophagectomy and Thal-Hatafuku's operation.
D000293:Adolescent; D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology*; D004931:Esophageal Achalasia / Q000150:complications / Q000601:surgery*; D004947:Esophagus / Q000601:surgery; D006801:Humans; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012086:Reoperation