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SURGERY BOARDS > esophagus > Flashcards

esophagus Flashcards

1
Q

for patients with esophageal cancer limited to the intramucosal layer without lymphadenectomy

A

vagal-sparing esophagectomy

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2
Q

done via midline laparotomy and left cervical incision; uses the right gastroepiploic to establish gastrointestinal continuity

A

transhiatal (Orringer and Sloan)

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3
Q

midline abdominal incision and right thoracotomy is done

anastomosis is done between the distal esophagus and the fundus

A

tranthoracic (Ivor-Lewis)

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4
Q

separate laparotomy, right thoracotomy and cervical incisions

A

three field- McKeown)

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5
Q

oblique incision done between the xiphoid and umbilicus; chest entered through the 7th ICS

A

Left thoracoabdominal (Akiyama)

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6
Q

palliative resection to those who cant undergo curative surgery

A

bypass surgery

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7
Q

most common bypass surgery

A

substernal

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8
Q

smooth polypoid lesion on Ba swallow; most are submucosa

A

esophageal sarcoma

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9
Q

ulcerating and stenosing on barium swallow

A

esophageal carcinoma

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10
Q

dysphagia, atrophic mucosa, spoon shaped fingers with brittle nails
chronic anemia
esophageal web

A

plummer vinson syndrome

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11
Q

mucosal tear at the gastroesophageal junction

A

mallory weiss tear

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12
Q

treatment for mallory weiss tear

A

laparotomy plus high gastrostomy plus oversewing of tear

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13
Q

most common TEF

EA with distal TEF

A

Type C

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14
Q

EA w/o TEF

A

Type A

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15
Q

EA with proximal TEF

A

Type B

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16
Q

Atresia with double fistula

A

Type D

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17
Q

Esophageal stenosis

A

esophageal stenosis

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18
Q

TEF w/o atresia

A

Type E

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19
Q

Excessive salivation; inability to fully insert NGT; cyanosis and aspiration

A

TEF

20
Q

Loss of high pressure zone at gastroesophageal junction

A

GERD

Normal pressure 6-26

21
Q

180 degree anterior fundoplication of distal esophagus

A

dor fundoplication

22
Q

most common sx tx for GERD

A

Nissen fundoplication

23
Q

posterior fundoplication 180 degrees

A

toupet fundoplication

24
Q

thoracic approach fundoplication

A

Belsey Mark IV

25
Q

Collis gastroplasty

A

uses a stapler to divide cardia and upper stomach

26
Q

arcuate ligament repair; sutures stomach to diaphragm

A

hill posterior gastropexy

27
Q

structural deterioration of the phrenoesophageal membrane

A

diaphragmatic /hiatal hernia

28
Q

chest pain
retching with inability to vomit
inability to pass NGT

A

Borchardt triad

29
Q

contains only mucosa and submucosa

A

false diverticulum

30
Q

mucosa lined pouches that protrude from the esophageal lumen

A

esophageal diverticula

31
Q

most common esophageal diverticula

dysphagia; regurgitation of undigested food; halitosis

A

Zenker diverticula

32
Q

area of potential weakness behind the esophagus at the level of the cricopharyngeus

A

Killian triangle

33
Q

dx of zenker diverticulum

A

barium swallow/ esophagogram

34
Q

tx 2cm or less diverticulum

A

pharyngomyotomy

35
Q

tx more than 2cm

A

diverticulectomy/ diverticulopexy

36
Q

diverticula located 5cm above and below the carina

A

mid thoracic diverticula

37
Q

mid thor diverticula caused by pulmo infection

A

traction diverticula

38
Q

mid thor diverticula caused by motility d/o of the esophagus

A

pulsion diverticula

39
Q

tx ofr symptomatic patients with pulsion diverticula

A

esophagomyotomy plus diverticulectomy/ pexy

40
Q

primary motility disorder characterized as loss of peristaltic waveform
failure of LES to relax

A

achalasia

41
Q

triad of achalasia

A

hypertensive LES
Aperistaltic Esophageal body
Failure to relax LES

42
Q

Gold standard dx for achalasia

A

manometry

43
Q

esophagogram finding of achalasia

A

BASE

Birds beak (pencil tip)
air fluid level
sigmoid esophagus
esophageal dilatation

44
Q

tx of achalasia

A

heller myotomy plus partial fundoplication

45
Q

simultaneous waveforms and multipeaked contractions

A

diffuse and segmental esophageal spasm

46
Q

corkscrew deformity

A

diffuse and segmental esophageal spasm

47
Q

spontaneous rupture of the esophagus

A

boorhaave syndrome

SURGERY BOARDS (7 decks)

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