Neuromuscular disorder of the esophagus characterized by a lack of reflex relaxation of the distal esophageal sphincter, normally induced by swallowing. Achalasia produces a functional obstruction of the esophagus with proximal dilatation. However, the disease involves the entire organ in which the normal neuromuscular disorder peristaltic waves are replaced by simultaneous contractions. Achalasia occurs mainly in adults and rarely in children.
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