FCS(SA) Final Practice Questions - Fellowship Of The College Of Surgeons Of South Africa Final Examination FCS(SA) Final Exam

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A 40-year-old female presents with dysphagia to solids and liquids. High-Resolution Manometry (HRM) shows integrated relaxation pressure (IRP) >15 mmHg with failure of peristalsis and premature (spastic) contractions in >20% of swallows (Chicago Classification Type III Achalasia). Which therapeutic option offers superior clinical efficacy for Type III achalasia?

Laparoscopic Heller Myotomy with Dor fundoplication Peroral Endoscopic Myotomy (POEM) Pneumatic balloon dilatation Botulinum toxin injection into the lower oesophageal sphincter

Correct Answer:

Peroral Endoscopic Myotomy (POEM)

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