Question 462 · LEK · Achalasia
Select the correct statements about treatment of oesophageal achalasia:
1) pharmacotherapy is the first-line treatment in young patients;
2) treatment involves the use of prokinetic agents;
3) endoscopic management is used, such as mechanical oesophageal dilation and myotomy;
4) botulin toxin injections into the muscles is the first-line treatment;
5) surgical management additionally involves fundoplication.
The correct answer is:
2) treatment involves the use of prokinetic agents;
3) endoscopic management is used, such as mechanical oesophageal dilation and myotomy;
4) botulin toxin injections into the muscles is the first-line treatment;
5) surgical management additionally involves fundoplication.
The correct answer is:
- A. 1,2.
- B. 1,3.
- C. 2,3.
- D. 3,4.
- E. 3,5.
Hint
Achalasia is failure of the lower oesophageal sphincter to relax; think which treatments durably disrupt the sphincter and how post-myotomy reflux is prevented.
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