FCS(SA) Final Practice Questions - Fellowship Of The College Of Surgeons Of South Africa Final Examination FCS(SA) Final Exam

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A 72-year-old man presents with progressive cervical dysphagia, regurgitation of undigested food, halitosis, and recurrent aspiration pneumonia. Contrast swallow reveals a 4 cm posterior pharyngeal pouch above the cricopharyngeus muscle. What is the definitive treatment of choice?

Long-term oral proton pump inhibitor therapy Cricopharyngeal myotomy with endoscopic stapled diverticulotomy (or open diverticulectomy/diverticulopexy) Balloon dilatation of the lower oesophageal sphincter Subtotal oesophagectomy with gastric pull-up

Correct Answer:

Cricopharyngeal myotomy with endoscopic stapled diverticulotomy (or open diverticulectomy/diverticulopexy)

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