I had a heller myotomy with a partial fundo wrap in Dec of 2009. It helped for awhile. I now have spasms almost daily. I had a pneumatic dilation and botox and manometry. My manometry said esophageal peristalsis was absent (0% normal peristalsis, 100% panesophageal simultaneous contractions. I would like to know what the panesophageal contractions mean. Google is no help. Thanks in advance.