Free practice question 7 of 20 · Upper GI
An original single best answer question in the style of the FRCS (Gen Surg) Section 1 paper, with the answer and a referenced explanation. Pick an answer to reveal it, then rate how sure you were.
A 41-year-old man has had heartburn and regurgitation for six years. Symptoms are only partly controlled on twice-daily omeprazole and he asks about antireflux surgery. Endoscopy on treatment shows a 2 cm sliding hiatus hernia and normal mucosa. High-resolution manometry is arranged.
Which additional investigation is most important before offering fundoplication?
Topic guide
Upper GI: what the exam tests
Syllabus coverage, high-yield themes and the common traps.
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