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Surgery > Esophagus, Stomach > Flashcards

Esophagus, Stomach Flashcards

0
Q

Recommended anti reflux procedure

A

Nissen fundoplocation

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1
Q

3 areas of narrowing

A

Cricopharyngrus, left mainstem bronchus, diaphragmstic hiatus

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2
Q

Most common diaphragmatic hernia invovles?

A

Upward dislocation of the cardia to the thorax; aka sliding/type I

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3
Q

Diaphragmatic hernia: upward dislocation of the fundus

A

II

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4
Q

Combined herniation of cardia and fundus

A

Mixed/ type 3

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5
Q

Additional organ herniates aside from stomach

A

Type IV

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6
Q

Cheat pain, retching, inability to vomit, inability to pass NGT

A

Borchardt’s triad

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7
Q

Zenker’s diverticulum

A

Pharyngoesophageal

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8
Q

Diverticula that contains mucosa and submucosa

A

False

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9
Q

Results from high pressure generated in the hypopharynx

A

zenker’s diverticula

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10
Q

Area of potential weakness situated behind the esophagus at the level of te cricopharyngeus muscle

A

Killian’s triangle

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11
Q

Dx for diverticula

A

Barium swallow

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12
Q

Tx for zenker

A

2 cm or less- pharyngomyotomy;
>2cms- diverticulectomy
Diverticulopexy

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13
Q

Diverticula located 5cms above and below the level of the carina

A

Mid thoracic

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14
Q

Heller’s myotomy is used for

A

Achalaska

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15
Q

Most common primary esophageal disorder

A

Nutcracker esophagus

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16
Q

Spontanoeus rupture of esophagus; hx of resisting vomiting

A

Boerhave’s syndrome

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17
Q

Ivor lewis procedure is for

A

Esophageal carcinoma

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18
Q

Oringer ‘s trans hiatal technique is for

A

Esphophageal carcinoma

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19
Q

Akiyama technique is fir

A

Esohageal carcinoma(left thoracoabdiminal approach)

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20
Q

Submucosal ring in lower esophagus

A

Schatzki’s ring

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21
Q

Dysphagia atrophic oral mucosa, spoon shaped fingers with brittle nails, chronic anemia

A

Plummer vinson syndrome

22
Q

Mucosal tears located at the GE junction

A

Mallory weis tear

23
Q

Gives criminal nerve of Grassi

A

Right vagal trunk

24
Q

Preferred for confirming cure in PUD

A

Urea breath test

25
Q

Most common gastric ulcer type

A

I: antral lesser curvature

26
Q

NSAID induced gastric ulcer type

A

V

27
Q

Type of gastric ulcer associated with acid hypersecretion

A

II and III(type I plus duodenal ulcer; pre pyloric ulcer)

28
Q

Aka graham’s procedure

A

Omental patching

29
Q

Gastroduodenostomy

A

Bilroth I

30
Q

Gastrojejunostomy

A

Billroth II

31
Q

Drainage procedure in peptic ulcer

A

Heineke Mikulicz pyloroplasty

32
Q

Medical management for early dumping

A

Octreotide

33
Q

Medical management for late dumping

A

Alpha glucosidase inhibitor

34
Q

Surgical management for dumping

A

Roux en Y anastamosis

35
Q

ZES involves uncontrolled secretion kf

A

Gastrib

36
Q

Confrmatory test for ZES

A

Secretin stimulaion tets

37
Q

Most common malignant neoplasm of stomach

A

Adenocarcinoma

38
Q

Gold standard in diagnosing gastic carcinoma

A

Upper endoscopy + biopsy

39
Q

Mgmt for gastric adenocarcinoma

A

Resection of all tumor(R0) with 5cms grossly negative margins (radical subtotal gastrectomy)

40
Q

Most common site for primary gastric GI lymphoma

A

Gastric lymphoma

41
Q

Mgmt for gastric lymphoma

A

Chemo; radical subtotoal gastrectomy for tumor complications

42
Q

GIST tumor marker

A

C KIT

43
Q

Mgmt for GIST

A

Wedge resection with negative margins; imatinib for unresectable

44
Q

Arise from gastric ECL cells

A

Gastric carcinoid

45
Q

Most common type of gastric carcinoid

A

I

46
Q

Mgmt for gastric carcinoid

A

Small: EMR(endoscopic mucosal resection); larger: radical subtotal gastrectomy

47
Q

Also called Menetrier’s disease

A

Hypertrophic gastropathy

48
Q

Associated with protein losing enteropathy and hypochlorydia

A

Menetrier’s disease

49
Q

Aka watermelon stomach

A

Gastric antral vascular ectasia

50
Q

Dilated mucosal blood vessel in distal stomach

A

watermelon stomach

51
Q

Cogenital AV malformation; unusually large tortuos submucosal artery

A

Dieulafoy’a lesion

52
Q

Mgmt for dieulafoy

A

Endoscopic hemostasis, angiographic embolization, oversew or resection

Surgery (12 decks)

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