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achalasia case with intraoperative mucosal injury

admin
in Achalasia cardia

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First one with correct answer with justification win.

 

[size=20px]A fifteen-year old female with dysphagia related to achalasia is referred for a laparoscopic esophagocardiomyotomy. She had previously undergone two pneumatic esophageal dilations and a Botulinum toxin injection resulting in only temporary relief.

 

After the completion of the laparoscopic myotomy a small hole in the mucosa is identified. The most appropriate management is

 

A tube thoracostomy drainage.

 

B repair mucosa only.

 

C repair the mucosa and muscle with referral for additional medical therapy.

 

D repair the mucosa and reinforce with a partial fundoplication.

 

E place an esophageal stent.[/size]

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