HK is a 60 yo M who has been diagnosed with achalasia.He has a history of Chagas disease and has been complaining of "food getting stuck in his throat." The registered dietitian consults with HK and finds that he has been afraid to eat due to his symptoms and has experienced a 13# unintentional weight loss.
HT: 5'8" WT: 170#
-What surgical procedure might the MD recommend for HK?

Question

HK is a 60 yo M who has been diagnosed with achalasia.He has a history of Chagas disease and has been complaining of "food getting stuck in his throat." The registered dietitian consults with HK and finds that he has been afraid to eat due to his symptoms and has experienced a 13# unintentional weight loss.
HT: 5'8"       WT: 170#
-What surgical procedure might the MD recommend for HK?

Quizplus · Accepted Answer

Esophageal myotomy is a surgical procedure that involves cutting the muscle at the lower end of the esophagus to allow food and liquids to pass into the stomach more easily. This is a common treatment for achalasia. The other options, botulinum toxin and gastrectomy, are not typically recommended for achalasia. Esophagectomy may be considered in severe cases but is a more invasive and risky procedure than esophageal myotomy. The MD would most likely recommend an esophageal myotomy for HK, which is a surgery to cut the muscle at the bottom of the esophagus to allow for easier passage of food. Botulinum toxin can also be used as a short-term treatment option but is less effective than surgery. Esophagectomy and gastrectomy are not appropriate treatments for achalasia.

HK Is a 60 Yo M Who Has Been Diagnosed