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The clients had been divided in to two groups patients which responded to conventional treatment (C team) and patients who have been refractory to conservative treatment and underwent surgery (S group). Individual age, intercourse, condition extent before treatment, signs, esophagogastroduodenoscopic (EGD) findings, esophagographic results, esophageal wall thickness on computed tomography, amount of swallows with hypercontractile peristalsis in 10 liquid swallows, and optimum dista