“…Older adults with idiopathic esophageal achalasia have similar clinical and manometric presentations but less‐severe chest pain than younger individuals . Achalasia of older adults is significantly associated with greater risks of pulmonary complications, malnutrition, and gastroesophageal cancer and higher prevalence of Chagas disease in South American countries . Owing to chronic microaspiration, individuals with achalasia may have respiratory symptoms of nocturnal cough, poor pulmonary function in the form of restrictive or obstructive airway disease, and abnormal findings on high‐resolution chest CT, including tracheobronchial compression by the dilated esophagus, pulmonary nodules, ground‐glass opacities, fibrosis, consolidations, air‐trapping, and bronchiectasis .…”