Abstract
Achalasia is a rare, chronic disorder of esophageal motility characterized by the lower esophageal sphincter's inability to relax and a lack of normal esophageal peristalsis. We present a 70-year-old man with longstanding achalasia, a previous open myotomy, and adenocarcinoma in the lower third of the esophagus. A subtotal esophageal resection, gastroesophagoplasty by McKeown, and pyloroplasty by Heineke-Mikulicz were performed.