A Wilson Cook balloon for achalasia with a 30 mm diameter was advanced over the guide wire with the middle of the balloon traversing the GE junction. The goal of therapy for achalasia is to relieve symptoms by eliminating the outflow resistance caused by the hypertensive and nonrelaxing LES. Once the obstruction is relieved, the food bolus can travel through the aperistaltic body of the esophagus by gravity.
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