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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.
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.
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