Surgical Treatment of Achalasia of the Esophagus

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Abstract
ALTHOUGH its etiology remains obscure, an experience of ten years' surgical treatment of achalasia of the esophagus has brought about a better understanding of the nature of the disease as it exists among patients who do not respond favorably to more conservative measures. It has become apparent that two distinct types can be differentiated on the basis of the clinical history, the x-ray examination and the anatomic appearance at operation.Type 1 AchalasiaThe more frequent type, comprising about 75 per cent of the cases, is that characterized by an enormous dilatation of the esophagus above the distal segment. The . . .