TECAD Cirurgia Digestiva Practice Questions - TECAD - Título De Especialista Em Cirurgia Do Aparelho Digestivo (CBCD AMB) Exam

Access More Questions

A 38-year-old woman presents with severe retrosternal chest pain and dysphagia. High-resolution manometry (HRM) evaluated under the Chicago Classification v4.0 demonstrates an elevated median Integrated Relaxation Pressure (IRP > 15 mmHg), 100% failed peristalsis, and premature spastic contractions with a Distal Latency (DL) < 4.5 seconds in > 20% of swallows, confirming Type III (Spastic) Achalasia. Which of the following therapeutic modalities provides superior clinical success and symptom relief for this specific manometric subtype?

Serial pneumatic balloon dilations up to 40 mm Peroral Endoscopic Myotomy (POEM) with tailored long proximal esophageal myotomy Standard laparoscopic Heller myotomy extending 5 cm onto the distal esophagus Medical therapy with oral isosorbide dinitrate and nifedipine before each meal

Correct Answer:

Peroral Endoscopic Myotomy (POEM) with tailored long proximal esophageal myotomy

Access more questions from this quiz

Continue to TECAD Cirurgia Digestiva Practice Questions - TECAD - Título de Especialista em Cirurgia do Aparelho Digestivo (CBCD AMB) Exam for more practice questions and the full quiz experience.

Access More Questions