Título De Especialista Em Gastroenterologia (FBG) Practice Questions - Título De Especialista Em Gastroenterologia - Federação Brasileira De Gastroenterologia (FBG AMB) Exam

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A 35-year-old man presents with progressive dysphagia for both solids and liquids and unprovoked regurgitation. High-Resolution Esophageal Manometry (HRM) reveals an elevated median Integrated Relaxation Pressure (IRP = 28 mmHg, normal < 15 mmHg) and 100% failed peristalsis, with panesophageal pressurization observed in 40% of test swallows. Under the Chicago Classification v4.0, what is the definitive motility diagnosis?

Type II Achalasia (Achalasia with panesophageal pressurization). Type I Achalasia (Classic achalasia with 100% absent peristalsis and no pressurization). Type III Achalasia (Spastic achalasia with premature/spastic contractions). Esophagogastric Junction Outflow Obstruction (EGJOO) with intact peristalsis.

Correct Answer:

Type II Achalasia (Achalasia with panesophageal pressurization).

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