Esophago-Gastric Flashcards
Most important etiologic etiologic factor in the development of primary adenocarcinoma of the esophagus?
Barretts esophagus
Thin submucosal ring in the lower esophagus?
Schatzki ring
Treatment is esophageal dilatation/ anti reflux procedure
Pain of gastric hlces in relation to meals?
Occurs while eating , food worsens pain.
Doudenal ulcer
Pain occurs 2-3 hrs after a meal , food relieves pain.
Common complications of peptic ulcer disease in decreasing order of frequency.
Bleeding > Perforation> Obstruction
Ulcer location of the most common type of gastric ulcer?
Antral lesser curvature (Type I)
Memory Aide
1 is less
2 has two
3 is prepyloric
4 is at the door
5 is NSAID
Shock like symptoms caused by peripheral and splanchnic vasodilation that is relieved by saline or recumbency.
Early dumping syndrome
Late dumping syndrome: due to hyperinsulinemia with relative hypoglycemia
Most common etiologic lesions that create an environment for gastric inflammation to develop
H. pylori and Autoimmune gastritis
Cul de sac tumor palpable in rectal examination in gastric adenocarcinoma?
Blumer shelf
Most common type of gastric lymphoma?
Non-Hodgkin B cell type
Though to arise in mucosa-associated lymphoid tissue (MALT)
Cells of origin of GIST ( Gastrointestinal Stromal Tumors)
Interstitial Cells of Cajal
Also known as the autonomic pacemaker cells of the stomach
Tumor arising from gastric enterochromaffin-like cells
Gastric carcinoids
An unusually large tortuous submucosal artery presenting as intermittent UGIB.
Dieulafoy lesion
Best treatment for lymphoma?
Chemotherapy and Radiotherapy
Most common surgical disorders in small intestine?
Mechanical bowel obstruction
Most common cause is adhesions.
