Botta G C, Ferrozzi G, Cortese F, Arena V
Minerva Chir. 1979;34(1-2):5-12.
4 cases of oesophageal achalasia, 2 primary and 2 recurrences following multiple oesophagomyotomy are reported. The superiority of oesophagomyotomy carried out by the left transthoracic route (according to Ellis) in cases of primary achalasia is stressed. On the basis of the literature and reported experience, it is concluded that this approach is also preferable in recurrences when the previous operation was done by the abdominal route and the recurrence occurred within 6 months. In all other cases, particularly in the presence of an achalasic megaoesophagus, partial oesophagogastric resection with interposition of a jejunal loop (Merendino's operation) is the procedure of choice and the satisfactory results of using it are reported.
报告了4例食管失弛缓症患者，其中2例为原发性，2例为多次食管肌层切开术后复发。强调了在原发性失弛缓症病例中采用经左胸途径（根据埃利斯方法）进行食管肌层切开术的优势。根据文献和报道的经验得出结论，当既往手术经腹途径且在6个月内复发时，这种方法在复发病例中也是首选。在所有其他情况下，特别是存在失弛缓性巨食管时，采用空肠袢间置的部分食管胃切除术（梅伦迪诺手术）是首选术式，并报告了使用该术式的满意结果。
