Abstract
1. 1. The case reported has been cured symptomatically and the lower esophagus has resumed its normal diameter and tonicity. 2. 2. A larger percentage of patients with esophagospasm should be operated upon before extreme dilatation and atony occur. Conservatism and palliation in a large number of patients require continuous treatment to accomplish semi-invalidism. Carcinoma follows dilatation of the esophagus twenty-five times as often as in the undilated esophagus. 3. 3. The type of operation should be limited to those which relieve or remove the stricture, preferably through a transthoracic approach. 4. 4. Collaboration of the abdominal surgeon with the thoracic surgeon may effect an increasing number of complete cures with a decreasing mortality rate.
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