Ferraz E M, Bacelar T S, Ferreira Filho H A, Lacerda C M, De Souza A P, Kelner S
Int Surg. 1982 Apr-Jun;67(2):111-3.
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.
本文报告了20例曾接受过治疗的晚期巨食管患者的外科治疗结果。在之前的手术之后，大多数病例的无症状期少于5年；症状包括吞咽困难（100%）、反流（65%）、烧心（50%）、疼痛（45%）、唾液过多（20%）和心悸（10%）。确定性治疗方法包括颈腹段食管切除术（45%）、远端食管切除术（20%）、塔尔-哈塔福库手术（15%）和其他手术（15%）。根据我们的经验，最佳手术方法是颈腹段食管切除术和塔尔-哈塔福库手术。
