Bilary Surgery Flashcards
fucnion of gall balddr
bile resoviisd, concentrate bile
secre bile after meals
what is cholesterosis
growth of cholesterol in and around the gall bladder
afte rwhat size polps should we be award of in gall balder
greater than 0.5 mm
proceducre to remove gall stones name
cholecytectomies
inflamation of gall bladder name
cholecystitis
what are gall stones normally made of
mixed, cholesterol, pigment
risk factors for gall stoens
age, gender, parity, ocp
cholesterol - obesity, ileal disaeh, cirrhosi, cf, heart translpalnt, delayed gb empitng
pigment - hameolgic aneiam, bile infection
who is more effected by gall stoesn male for emale
female
what is seen on presnaitno for gall stones
asymptomatic, dyspepifc sympis, bilary colic, acute cholecyties, empyerm, perfaito , gall stoesn ilues
what is choledocho lithisais
gall stosn in the common bile duct
presentioan of choledochisslis
incidnetla at cholecytemomy
jauncie
pain
asceing cholangitis
acute pancttie s
blood investion for gall stones
lft, ast, alp, alt, amylase, lipase, wcc
scans for gall stoens
uss
eus
oral cholecjyompys
ct
radioisotope scan
iv cholangiography
mrcp
ptc
ercp
what is the non operative mangement of gallstones
dissolution - makes bile thinner reducing reisk of more gall stoens and stopping incresi in sizeo
operatieve management of gall stoens
open cholecystectomy
mini cholecystectomy
laproscopic cholecytejy
single port cholecytemcy
notes cholecycomy
mini cholecystectomy
go though smaller area just above gall balder
single port cholecytesm
go though umbilus nad work way up, requiring only one scle
cholecystomcy
removal of hte gall bladder
how to mange cbd stones
ercp, transhepic stone retrival , lap trnasy cystic cbd,laprosopic expaiton of common bile duct
causes of bilary tract stricurle
gall stoens realed (mirrizie
larogenic (medicla procure
inflamatoyr
- pyogenic
parasic
psc
pancreatiiss
hiv
what is bilary atreais
born wiht narrowing of cetian tuebs form gall bladder or hepatic bile duct or common bile duct
what are choldochal cyts
cyst, some hwere on the bilary tree
scoring catogory for latrogenic bile duct injuries
strasberg classificaiton
what is a bilary enteric fistula
where a large bile sone for teh gall bladder is related leading to a blockage inteh small bowle
what are maligant jaundice tumors
cancer of hte head of hte pancre
cholagniocarcinoma
cholangiocarcioma
cacncer of the bilary tree
risk factors for cholangocarcioma
psc, congeigal cystic disease, bilary entetic drainage
thorstas
carciogens
types of intrahepaic cholangiomas
mass forming, pericucla intraaductio
treatmenf or cholangiocarina
curative
suergyer
pallative
surical bipayse
radiotherapy
chemotherapy
PDT
liver transplant
presentaio of cholangiocarnio
obstuctive juandice
ichtinc
non speficic symptoms
investigations fo cholangiocarcimona
lab, uss, eus ct, mra , mrcp, ptc ercp, agnoigramy , chalaiopy cytoloyg
types of ampulary tumoru
adenoma vs adenocarcioma
treatment fo rampullary tumours
endoscopci excistion
trans duodenal excision
pancreatico duodenectomy
