[Surgical management of achalasia]

As long as its etiology is uncertain, achalasia can only be treated symptomatically. Basically, conservative dilation treatment and operative cardiomyotomy can be performed. Although dilation treatment can save the patient the operative procedure, it has relative disadvantages. For this reason since 1973 we treat achalasia through cardiomyotomy with Nissen's fundoplication method. We have operated on 25 cases using this method. These are examined and the results reported.