Vigorous Achalasia

Abstract
• A patient with vigorous achalasia demonstrated manometric response to administration of atropine sulfate and nitroglycerin. Clinical improvement was achieved with the use of an oral anticholinergic agent and long-acting nitrates. The relationship of vigorous achalasia and diffuse esophageal spasm is discussed. (Arch Intern Med 140:1118-1120, 1980)

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