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1 Achalasia. 2  Achalasia is a condition that affects the smooth muscle portion of the esophagus, that is, the lower esophagus and the lower esophageal sphincter. 3  Specifically, the peristaltic wave disappears, and the lower sphincter does not relax.
It is called a smooth muscle because, unlike skeletal muscle, it does not have the banded appearance of skeletal or cardiac muscle. The weakest of all muscle tissues, visceral muscles contract to move substances through the organ, according to The Merck Manual.