SummaryThe problems of exact diagnosis, the correct treatment of advanced cardiospasm, and the management of acid regurgitation leading to oesophagitis and peptic ulcer are discussed.It is suggested that it is necessary to use all available methods of diagnosis before deciding on treatment. That while Heller's operation with certain safeguards is probably the best procedure for advanced cardiospasm, it is not wholly reliable, and should notbe resorted to lightly. That a flap of gastric mucosa might be useful in checking reflux after resection and oesophago gastrostomy. That a graft of diaphragmatic tissue might be useful in the fortification of an otherwise doubtful repair of a hiatus hernia.
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