Abstract
Objective: Reporting on Esophageal Achalasia, with different results in high resolution esophageal manometry, and different therapeutic outcomes. Detailing of cases: Observational and descriptive study of two cases, in which the two patients, both female, 37 and 20 years old, sought specialized medical care, with a clinical history compatible with Esophageal Achalasia. The diagnosis was confirmed after the performance of a Barium Esophagogram, followed by high resolution Esophageal Manometry, which showed different classifications for these two patients. Therefore, they were submitted to different therapies, according to the best option for each circumstance, and remain asymptomatic until the present moment. Final Considerations: It is concluded that, although the therapy does not act on the etiological factor of the disease, it is fundamental for the relief of symptoms, and should be individualized according to each patient.