Congenital anomalies Flashcards
1
Q
Examples of stomach congenital anomalies
A
- gastric pancreatic heterotopia
- Pyloric stenosis
- gastric outlet obstruction
- gastric duplication
- microgastria
- gastric volvolus
2
Q
what is gastric pancreatic heterotopia
A
PA tissue found outside the usual anatomical location of the pancreas
3
Q
Eg for gastric outlet obstruction
A
- pyloric webs
- pyloric atresia
- pyloric stenosis
4
Q
Presentation of pyloric stenosis
A
age: from 1 week to 5 mo
Gender: 5M:1F
Sx: non-bilious vomiting, can have bloody streaks. FTT, WT loss, dehydration
Lab: hypercarbicm hypoCh, alkalosis
5
Q
DDx of pyloric stenosis?
A
- pyloric web
- annular PA
- duodenal stenosis/web
- gastritis
- GERD
- CMPA
- intestinal malrotation
6
Q
Rx of pyloric stenosis
A
correct electrolyte disturbance
laparoscopic Ramstedt pyloromyotomy
7
Q
Pyloric stenosis finding on US and UGI
A
US: elongated pyloric channel
UGI: hypertrophied muscles, string sign (long canal), double track pyloric channel