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Achalasia — RACP Paediatrics MCQ

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HardGIAchalasiaRACP Paediatrics

A 14-year-old has progressive dysphagia for solids over 12 months, regurgitation of undigested food, weight loss. Barium swallow shows 'bird's beak' tapering at GOJ with dilated oesophageal body. What is the diagnosis?

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Correct answer: B — Achalasia

Progressive dysphagia with 'bird's beak' tapering at GOJ is achalasia. High-resolution manometry confirms. Treatment: pneumatic dilatation, Heller myotomy, or POEM.

Reference: RCH Melbourne – 2023 – Dysphagia CPG