DOI: https://doi.org/10.36347/sasjs.2025.v11i12.006

Pages: 1096-1101

Introduction: Our objectives were to determine the hospital frequency and describe the diagnostic and therapeutic aspects of megaesophagus at Gabriel Touré University Hospital. Materials and methods: This was a descriptive, retrospective study conducted between January 2010 and June 2025 in the general surgery department of Gabriel Toure University Hospital, including all cases of idiopathic megaesophagus. Results: Sixty-two cases were identified, representing 0.16% of consultations and 0.46% of hospitalizations. The mean age was 36.96 ± 15.2 years, and the male-to-female ratio was 1:1. All patients presented with dysphagia, associated with regurgitation in 98.4%. Weight loss was a constant finding. Esophagogastroduodenoscopy and barium swallow were performed in 96.8% of cases. Two patients underwent laparoscopic surgery; Heller cardiomyotomy combined with an antireflux valve was performed in 96.8% (Toupet fundoplication in 85%) and gastropexy in 95.2%. The mean myotomy length was 8.27 ± 0.813 cm. The intraoperative complication was mucosal injury in 15 patients, treated by suturing. The immediate outcomes were uneventful in 98.4%, with a mean hospital stay of 9.15 days. At two years post-surgery, 96% of patients were asymptomatic. Conclusion: Megaesophagus is rare. Surgical outcomes can be improved by the widespread adoption of laparoscopy.