“…Pseudoachalasia or secondary achalasia is a rare motor abnormality of the esophagus mimicking idiopathic achalasia and associated with benign 1 or malignant diseases 2 . Metastases from unknown primaries, 3 , 4 multiple endocrine neoplasia (MEN) type 2b, 5 genital and urinary tumors, 6 colon cancer, 7 lung, 8 breast 3 , 9 and pancreatic carcinomas 10 and few primary lesions growing in the vicinity of the lower esophageal sphincter (LES) such as squamous cell carcinoma and lymphangioma of the esophagus, 11 –14 rhabdomyosarcoma of the diaphragm, 15 lymphoma, 8 , 16 pleural or peritoneal mesothelioma, 17 , 18 liver, 4 , 8 lung 19 –21 and pancreatic carcinomas 22 have been reported in association with pseudoachalasia. Even though primary gastric cancer is recognized to be the most frequent cause of pseudoachalasia, 3 , 4 , 8 , 11 , 12 , 19 , 23 –27 recurrent antral carcinoma showing the clinical picture of a secondary achalasia has not been previously described.…”