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Stomach > Congenital anomalies > Flashcards

Congenital anomalies Flashcards

1
Q

Examples of stomach congenital anomalies

A
  1. gastric pancreatic heterotopia
  2. Pyloric stenosis
  3. gastric outlet obstruction
  4. gastric duplication
  5. microgastria
  6. gastric volvolus
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2
Q

what is gastric pancreatic heterotopia

A

PA tissue found outside the usual anatomical location of the pancreas

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3
Q

Eg for gastric outlet obstruction

A
  1. pyloric webs
  2. pyloric atresia
  3. pyloric stenosis
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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

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5
Q

DDx of pyloric stenosis?

A
  1. pyloric web
  2. annular PA
  3. duodenal stenosis/web
  4. gastritis
  5. GERD
  6. CMPA
  7. intestinal malrotation
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6
Q

Rx of pyloric stenosis

A

correct electrolyte disturbance
laparoscopic Ramstedt pyloromyotomy

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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

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Stomach (3 decks)

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