Original communication| Volume 20, ISSUE 4, P558-570, October 1946

Treatment of esophageal achalasia or cardiospasm

Report of four patients treated surgically
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      All patients with dysphagia and regurgitation should be carefully studied. Those which are due to idiopathic spasm of the cardioesophageal junction must be differentiated as to degree and type of secondary deformity of the esophagus. Drugs, careful slow eating, avoidance of emotional stress, and dilatations should be used. For patients with large, flask-shaped or sigmoid type of dilatation and for those who do not respond well to conservative therapy, esophagogastrostomy is indicated. A report of four cases selected according to these criteria is presented. They have been followed from six to thirty-five months and the patients appear well clinically and roentgenographically.
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