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Transversal extramucosal esophagocardiomioplasty plus partial esofagogastrofundoplicature in treatment of megaesophagus

Two-hundred fifteen patients were followed for a 20 year period, being Chagas disease was the main cause of the disease. All patients were submitted to a transversal extramucosal esophagogastroplasty and parcial esophagogastrofundoplicature, which we call "Girard-Toupet-Lind" procedure. This procedure was used for the 2nd, 3rd and 4th degree megaesophagus. The mean age of the patients ranged from 30 to 40 years, being 55,6% for males and 44,4% for females. The systematization of the surgical technique is described by the authors. Attention is called for the simplicity of the procedure through abdominal approach, as well as the need of large passage in the esophagogastric region through a transverse extramucosal esophago- cardiomioplasty and parcial antireflux valve. The authors report early and late postoperative complications, pointing out the very low morbidity. Long term results of the surgery were carried out through clinic, radiological, endoscopic and histopathologic examinations. The authors realized that this surgical procedure is safe and brought real benefits to the patients with megaesophagus, even to those 4th degree patients.

Achalasia; Megaoesophagus; Cardioplasty; Anti-Reflux valve


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