Mbembati, Naboth A.2020-07-172020-07-171994Mbembati, N.A., Lema, L.E., Kahamba, J.F. and Mcharo, O.N., 1994. Operative management of achalasia of the oesophagus. East African medical journal, 71(7), pp.421-423.https://europepmc.org/article/med/7828492http://hdl.handle.net/123456789/536Twenty patients with achalasia of the oesophagus were managed in one thoracic surgical unit over a period of seven years. Eighteen of these were aged 16 to 40 years. There was a female:male ratio of 2:1. Dysphagia to both solids and liquids with diffuse bilateral parotid gland enlargement were the most common clinical features. All the patients had an oesophagomyotomy without an additional anti-reflux procedure. There was no mortality. The trans-thoracic approach for oesophagomyotomy was associated with better results without complications of gastro-oesophageal reflux. This approach is recommended and an additional routine anti-reflux procedure at the same sitting may be unnecessary.enManagement of achalasiaOesophagusArticle