Surgery The best treatment of this 80-year-old woman with vomiting retrosternal pain and a looped nasogastric tube in her left chest is: A Remove the tube because the patient is now well and discharged. B Evaluate the esophageal myotomy to treat achalasia. C Immediate left thoracotomy to treat perforation. D Consider surgical reduction of volvulus and diaphragmatic repair. 💡 Explanation The best treatment of this 80-year-old woman with vomiting retrosternal pain and a looped nasogastric tube in her left chest is: ✓ Correct Answer: D. Consider surgical reduction of volvulus and diaphragmatic repair.