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Thoracic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Ave, Room C-879, New York, NY 10021
(Email: floresr@mskcc.org).
| The first 20% of the full text of this article appears below. |
Achalasia is the most common and best characterized primary esophageal motility disorder with a prevalence of 10 per 100,000 individuals, with an annual incidence of 0.5 cases per 100,000 individuals. The natural pathology of achalasia is such that progressive neural degeneration leads to dysphagia, a defunctionalized esophagus, and eventually end-stage disease that requires an esophagectomy.
Finley and colleagues [1] have investigated the effects of initial nonoperative management in short- and long-term symptoms after myotomy
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