We have encountered 74 cases of esophageal achalasia in the past 15 years at our clinic.
From X-ray findings, esophageal internal pressure curves and clinical symptoms, 5 cases were diagnosed as vigorous achalasia.
According to the X-ray classification, 3 cases belonged to the spindle type grade II, one case the flask type grade II and one case the flask type grade III.
On the internal pressure curves, all cases were of the spasmus type (type A).
All these cases complained of esophageal pain as spasmodic symptom in addition to the difficulty in swallowing and had received various treatments as other diseases not related to the esophagus.
As for the treatment, cardioplasty modified of Girard's method was performed on four cases, and additionally high truncal vagotomy was performed on two of them to obtain satisfactory results.
