<prompt> The best treatment of this 80-year-old woman with vomiting retrosternal pain and a looped nasogastric tube in her left chest is:Remove the tube because the patient is now well and discharged.Evaluate the esophageal myotomy to treat achalasia.Immediate left thoracotomy to treat perforation.Consider surgical reduction of volvulus and diaphragmatic repair.  <response>: Recurrent volvulus of the stomach into the chest is a serious condition that can lead to incarceration and gangrene. Every attempt should be made to repair this diaphragmatic hernia. 