title: Thal-Hatafuku oesophagogastroplasty: an effective option in the palliation of non-chagasic megaesophagus.
abstract: The palliation of patients with megaesophagus secondary to achalasia of the cardia presents significant challenges to the surgeon. Experience with palliation of megaesophagus secondary to Chagas' disease suggests that options other than cardiomyotomy or oesophagectomy can result in satisfactory outcomes. A small series of patients with non-chagasic megaesophagus who were treated with a gastroesophagoplasty procedure is discussed.
authors.affiliation: Department of Surgery, The University of the West Indies, Kingston 7, Jamaica, West Indies. pabloram@cwjamaica.com
authors.forename: P S
authors.initials: PS
authors.lastname: Ramphal
authors.forename: R W
authors.initials: RW
authors.lastname: Irvine
authors.forename: A
authors.initials: A
authors.lastname: Coye
authors.forename: S
authors.initials: S
authors.lastname: Little
authors.forename: M H
authors.initials: MH
authors.lastname: Marlar
mesh_terms: D000328:Adult; D014355:Chagas Disease; D004931:Esophageal Achalasia / Q000150:complications*; D016629:Esophagectomy; D004943:Esophagogastric Junction / Q000503:physiopathology / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D004947:Esophagus / Q000503:physiopathology* / Q000601:surgery*; D005260:Female; D005748:Gastric Fundus / Q000601:surgery; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013524:Surgical Flaps