[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
January 18, 1965

Esophagomyotomy Effective in Diffuse Spasm of Esophagus

JAMA. 1965;191(3):43-44. doi:10.1001/jama.1965.03080030119040

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Esophagomyotomy, long recognized as an effective method of treating achalasia, has been used with some success in patients with diffuse spasm of the esophagus, Arthur M. Olsen, MD, told a Symposium on the Stomach and Related Areas.

Olsen, professor of medicine, Mayo Foundation, University of Minnesota Medical School, reported to the 13th Hahnemann Symposium in Philadelphia that motility tracings following operation almost invariably revealed marked improvement in the motility disturbance.

Nevertheless, the treatment of diffuse spasm remains a difficult problem and good or excellent results using esophagomyotomy have been obtained in only about two thirds of the patients, Olsen added.

"The poor results appear to occur in individuals who are extremely unstable from a nervous and emotional standpoint or who have associated gastrointestinal conditions such as peptic ulcer or biliary disease," Olsen said.

Other methods of treating diffuse spasm have been rather unsatisfactory, Olsen said. "Occasionally a patient will respond

First Page Preview View Large
First page PDF preview
First page PDF preview