V. Garrigues et al., Normal esophageal function after myotomy in a patient with idiopathic diffuse esophageal spasm, J CLIN GAST, 29(1), 1999, pp. 79-81
A 52-year-old man with idiopathic diffuse esophageal spasm and hypertensive
lower esophageal sphincter presented with dysphagia for several years. Aft
er unsuccessful therapy with forceful pneumatic dilation of the cardia, a m
yotomy of the cardia and distal esophagus was performed. The patient became
asymptomatic, lower esophageal sphincter pressure diminished to less than
10 mm Hg, and esophageal body motor activity was normalized. This situation
remains unchanged 6 years after the operation.