Colorectal Surgery Flashcards

1
Q

what is the fuciton of hte colfon

A

water and electle absion
produciotn and absoptoin of vit k, and b
storage of faues
hosts of the gut microbiota

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2
Q

how frequcy is crc screeing

A

every 2 years for those over the age of 50 -74

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3
Q

presentaio of colorfcal cancer

A

tenesmus, vommitnni, redctal ableed, change in bolwe hapids, abdioal pain, weight loss, fatigue

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4
Q

what proption of people have bowel cancer

A

1;2000

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5
Q

what percent ofpoepl with positive fit have bowel cancer

A

2%

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6
Q

how long do symponts need to persits for an investigation to be nesasssary

A

above 6 weeks `

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7
Q

common cause of rectal blleds

A

colitis
diverticultis
haemorrhois
fissues
angiodysplais
proctitis,
polpuys
uppergi blleds
smal blwl blees

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8
Q

waht is a righ hemicolon stury for

A

cacum, up to 2/3 tranver colo,

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9
Q

why does a cecum operation take up so much

A

as it is all under the contol of one blood vessel

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10
Q

what is the area that surrounds rectum

A

mesorectum

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11
Q

what happesn if the tumor exdiens past mesorctum

A

neoadjadent chemo surgyer must be done before surgery so can get clean margin

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12
Q

what image is done for rectal caner

A

mri

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13
Q

what is requied for a good bowel anastolsj

A

tension free
well perfused
well oxygenated
clean surgyal sidt to reduce risk of infection
accepatily stysemc state

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14
Q

what is main diffence btwen ileostomy and colonsotomy

A

ileostomy - right illiac region, spouted, liquid stools
colonospy left illiac region, solid stools, no spout, flush with skin

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15
Q

t1 stae

A

no deeper than sbmousa

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16
Q

t2 stage

A

not though muslaris mucosa

17
Q

t3

A

thouh muslaris mocusa

18
Q

n1 nd n2

A

n1, 3 or less lymph nodse
n2 - greater than 4 lymph nodes

19
Q

how frequent is survallence after colon cancer

A

1 year
4 th yeaar
annul ct

20
Q
A
20
Q
A