ABP Pediatric Gastroenterology Practice Questions - ABP Pediatric Gastroenterology Subspecialty Certifying Examination Exam

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A 14-year-old with progressive dysphagia to solids and liquids has a barium swallow showing a bird's beak at the GE junction and dilated esophagus. High-resolution manometry confirms absent peristalsis and failure of LES relaxation. Which is a definitive treatment option?

Dilation with Savary bougies only Proton pump inhibitor therapy Heller myotomy or peroral endoscopic myotomy (POEM) Swallowed topical budesonide

Correct Answer:

Heller myotomy or peroral endoscopic myotomy (POEM)

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