Pancreatic achalasia is uncommon and accounts for 1.9% to 5.5% of esophageal diseases in China. The etiology of cardia bradycardia is not fully understood, but it is believed that the pathogenesis of the disease is due to a decrease in the number of Auerbach’s ganglion in the lower esophageal sphincter or atrophy, which leads to abnormal relaxation of the sphincter and decreased peristalsis of the esophageal body. Clinical manifestations include dysphagia, reflux of undigested food, chest pain and weight loss. In the past, the treatment of cardia lagophthalmos included medication with smooth muscle relaxants, balloon dilatation, and thoracoabdominal incision surgery. 1.Drug therapy: commonly used drugs such as atropine, probenecid, nitroglycerin, amyl nitrite, calcium pump antagonist and so on. However, the effect of these drugs is small and short-lived, generally used as a palliative treatment to slow down the symptoms. 2, balloon dilatation: balloon dilatation short-term high efficiency, less painful, is part of the inability to tolerate open chest, open abdominal surgery patients of non-surgical measures…. However, the failure rate of balloon dilatation is very high and there are 10% to 20% of complications, such as esophageal perforation; at the same time, the balloon dilatation is less than 50% effective for patients younger than 40 years old, almost ineffective for adolescent patients, and the impact of balloon dilatation on the surgical operation, which makes the operation more difficult. 3.Surgical treatment: The introduction of Heller’s operation in 1913 has become the basic operation widely used so far. The main point of Heller’s operation is to expose the dilated and stenotic esophagus through the chest or abdomen, according to the length of the stenosis, vertically incise the muscularis propria at the end of the esophagus along the longitudinal axis of the esophagus for about 6-7 cm, and the fundus end of the stomach for about 1 cm, and peel off the muscularis propria outside of the mucous membrane, so as to reach the esophagus circumference of 1/2. Surgical treatment is more effective than the medication and the expansion of the gas capsule, and the randomized comparison of the effectiveness rate of the operation and the expansion of the gas capsule is 95% and 65%. Surgical treatment is more effective than pharmacologic and balloon dilatation. However, due to the surgical trauma and complications associated with traditional open thoracotomy and laparotomy, a significant proportion of patients preferred balloon dilatation to surgery, and thus the Heller procedure has previously been considered the treatment of last resort for cardia dystrophy.