| Patients with achalasia typically present with dysphagia to solids and liquids. |
| This case also illustrates the therapeutic dilemma if surgery fails in patients with achalasia. |
| However incomplete deglutitive relaxation in LES and primary peristaltic waves were detected in several patients with achalasia. |
| He suffers from recurring achalasia, a condition caused by narrowing of the oesophagus, and has been regularly hospitalised for treatment. |
| Esophagram and manometry confirmed the presumptive diagnosis of achalasia. |
| If endoscopy shows no obvious abnormality a diagnosis of a primary motility disturbance of the oesophagus such as achalasia should be considered. |
