How is megaesophagus treated in Chagas disease (American trypanosomiasis)?

Updated: Apr 26, 2019
  • Author: Louis V Kirchhoff, MD, MPH; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

Patients with chagasic megaesophagus in whom esophageal dilatation is inadequate often undergo wide esophagocardiomyectomy of the anterior gastroesophageal junction, combined with valvuloplasty to reduce reflux. [67, 172, 173] Laparoscopic myotomy is being used increasingly to manage severe megaesophagus. Partial esophageal resection with reconstruction with esophagogastroplasty has been used in extreme cases. [174]


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