Board prep Flashcards
Which GI NETs need oncologic resection?
> 1cm
Multiple
Nodal involvement
What level of thyroglobulin is concerning after total thyroidectomy for papillary thyroid cancer?
> 10
Appearance of midgut volvulus on upper GI:
Duo loop that doesn’t cross midline
DJ transition not on the left
Corkscrew sign
When to surgerize UGI bleed?
Persistent bleeding after failure of at least two endoscopies with endoscopy directed therapies - can also do VIR at this pt
Multimodal therapy for locally advanced gastric cancer
Periop chemo per MAGIC and FFCD 9703 trials, no benefit of adjuvant radiation per ARTIST trial
Li Fraumeni cancers
p53 and the 5 B’s
“Brain blood boob bone bravery”
Brain tumor, leukemia, breast, sarcoma, adrenocortical
Cowden syndrome cancers
PTEN
“lady moomoo spots around the neck”
breast, endometrial, thyroid, mucocutaneous
Crohns’ special traits
Cobblestoning
Rectal sparing
Skip lesions
Pan-GI tract
Most sensitive test for leak after RnY
Water soluble UGI
Vascular graft failure reason
<30d: technical error, poor inflow/outflow
<2y: intimal hyperplasia
>2y: atherosclerotic disease
Operative approach to H-type tracheoesophageal fistula
Right cervicotomy bc they are often at the thoracic inlet
Most common cervical spine fx in elderly
Odontoid (C2)
PD cath exit site concerning for infection: what next?
Determine if peritoneal involvement or not (draw cultures)
Start empiric abx
Treat until exit site normalizes
No surgical interventions unless exit site progresses to peritonitis or persists >1wk
Todani classification of choledochal cysts
I: fusiform
II: diverticulum
III: choledochocele into duodenum
IVa: intra and extrahepatic
IVb: extrahepatic only
V: intrahepatic only
What is the surgery for a refractory bleeding duodenal ulcer?
The 3-point U stitch (superior, inferior, medial) to ligate the GDA
