The treatment of achalasia by cardiomyotomy

Abstract
The results of treatment in 27 cases of achalasia carried out in the Tehidy Thoracic Surgical Unit are reviewed. The value of air insufflation of the oesophagus to assist in the division of the muscle and to ensure that the mucosa is not damaged is stressed. The advantages of early operation using a modified Heller's procedure are shown, and the results demonstrate that a poor outcome is most common in cases with a long history and that usually these cases have been treated by conservative measures.