Arab Board Surgery Final Written Practice Questions - Arab Board General Surgery Final Written Examination Exam

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A 42-year-old woman presents with progressive dysphagia to both liquids and solids, regurgitation of undigested food, and a 5-kg weight loss over 8 months. High-resolution esophageal manometry confirms Type II achalasia with integrated relaxation pressure (IRP) of 28 mmHg and panesophageal pressurization. Which surgical intervention is the standard definitive treatment of choice?

Laparoscopic Heller myotomy with partial fundoplication (Dor or Toupet) Laparoscopic Nissen 360-degree total fundoplication alone Transhiatal esophagectomy with gastric conduit reconstruction Endoscopic balloon dilatation to 20 mm followed by chronic proton pump inhibitor therapy

Correct Answer:

Laparoscopic Heller myotomy with partial fundoplication (Dor or Toupet)

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