Arab Board Surgery Final Written

Practice session

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?

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