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

Access More Questions

A 46-year-old man with refractory gastroesophageal reflux disease (GERD) unresponsive to double-dose proton pump inhibitors undergoes preoperative evaluation for antireflux surgery. 24-hour pH-impedance monitoring confirms pathological acid exposure with a DeMeester score of 42. High-resolution manometry demonstrates Ineffective Esophageal Motility (IEM) with > 70% failed or weak peristaltic sequences and low distal contractile integral (DCI < 450 mmHg·s·cm). Which surgical antireflux procedure is most appropriate to prevent postoperative severe dysphagia while controlling reflux?

Complete 360-degree floppy Nissen fundoplication Collis gastroplasty with total 360-degree fundoplication Posterior partial fundoplication (Toupet 270-degree) with hiatoplasty Belsey-Mark IV transthoracic 270-degree fundoplication

Correct Answer:

Posterior partial fundoplication (Toupet 270-degree) with hiatoplasty

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