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SURGERY (france) > Esophagus & Stomach > Flashcards

Esophagus & Stomach Flashcards

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French flashcards
1
Q

Etiology of diaphragmatic hernia

A

Structural deterioration of PHRENO-ESOPHAGEAL Membrane

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2
Q

Borchardt’s triad (diphragmatic hernia)

A

Chest pain
Retching
Inability to pass NGT

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3
Q

Area of potential weakness situated behind the esophagus at the level of esophagus

A

Killian’s tringle

Site of zenker’s diverticula

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4
Q

Location of epiphrenic esophageal diverticula

A

Distal 10 cm of esophagus

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5
Q

Location of mid thoracic esophageal diverticula

A

4 above and below carina

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6
Q

Triad of achalasia

A

Hypertensive LES
Aperistalsis of esophageal body
Failure of LES to relax

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7
Q

Cork screw deformity

A

Diffuse esophageal spasm

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8
Q

Most common primary esophageal motility disorder

A

Nutcracker esophagus

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9
Q

True surgical emergency

A

Esophageal perforation

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10
Q

Define BOERHAAVE’s syndrome of esophageal perforation

A

Spontaneous rupture of esophagus with usual history of resisting vomiting

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11
Q

Most common site of esophageal perforation

A

Left pleural cavity

Just above the gastroesophageal junction

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12
Q

Diagnostic for esophageal perforation

A

Water soluble contrast esophagogram (GASTROGRAFIN)

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13
Q

Surgical treatment for esophageal rupture

A

Posterolateral thoracotomy

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14
Q

How many weeks should antacids should be given in GERD

A

12 weeks

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15
Q

Other name for trans-thoracic esophagectomy

A

Ivor-Lewis procedure

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16
Q

Surgery used for palliative for esophageal CA

A

Transhiatal esophagectomy

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17
Q

Manueuver: mobilization of fixed portion of duodenum

A

Kocher’s maneuver

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18
Q

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

A

Plummer-Vinson syndrome

+) esophageal web (pre malignant

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19
Q

Other name for trans-thoracic esophagectomy

A

Ivor-Lewis procedure

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20
Q

Surgery used for palliative for esophageal CA

A

Transhiatal esophagectomy

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21
Q

Manueuver: mobilization of fixed portion of duodenum

A

Kocher’s maneuver

22
Q

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

A

Plummer-Vinson syndrome

+) esophageal web (pre malignant

23
Q

Acid base disturbance of gastric outlet obstruction

A

Hypochloremic hypokalemic metabolic alkalosis

24
Q

Dagnosis of h. Pylori infection when endoscopy is necessary, done before eradication

A

Rapid urease test

Unlike urea breath test that confirms cure

25
Q

Diagnostic test of choice for confirming cure to H. pylori

A

Urea breath test

26
Q

Medical treatment for h. Pylori

A

For 10-14 days

Bismuth
Metronidazole
Tetracycline

PPI
Amoxicillin
Clarithromycin

PPI, bismuth, metro, tetra

27
Q

Acid base disturbance of gastric outlet obstruction

A

Hypochloremic hypokalemic metabolic alkalosis

28
Q

Dagnosis of h. Pylori infection when endoscopy is necessary, done before eradication

A

Rapid urease test

Unlike urea breath test that confirms cure

29
Q

Diagnostic test of choice for confirming cure to H. pylori

A

Urea breath test

30
Q

Medical treatment for h. Pylori

A

For 10-14 days

Bismuth
Metronidazole
Tetracycline

PPI
Amoxicillin
Clarithromycin

PPI, bismuth, metro, tetra

31
Q

Other name for omental patching

A

Graham’s procedure

32
Q

Components of billroth I

A

Vagotomy
Antrectomy
Gastroduodenostony

33
Q

Increase pressure in afferent loop after billroth II

A

Afferent loop syndrome

34
Q

Caused by destruction of pyloric sphincter causing abrupt delivery of hyperosmolar load to small intestines

A

Dumping syndrome

35
Q

Cause of early dumping (15-30 minutes post prandial)

A

Peripheral and splanchnic vasodilation leading to shock like symptoms

36
Q

Late dumping syndrome (2-3 hours post prandial) is due to?

A

Hyperinsulinemia with reactive hypoglycemia

37
Q

Treatment for early dumping?

A

Saline
Recumbency
OCTREORIDE

38
Q

Treatment for late dumping?

A

Glucose administration

ALPHA GLYCOSIDASE INHIBITOR

39
Q

Most common pancreatic tumor in patients with MEN I

A

Gastrinoma

40
Q

Confirmatory test for Zollinger Ellison Syndrome

A

Secretin Stimulation Test

Gastrin >200 pg/ml after IV secretin

41
Q

Pre operative imaging/localization for Zollinger Ellison Syndrome

A

Octreotide scan

42
Q

Gastrinoma triangle also called?

A

Passaro’s triangle

Junctiona of

  • cystic duct and CBD
  • head and neck pancreas
  • 2nd and 3rd part duodenum
43
Q

Arise from interstitial cells of cajal

A

GIST

44
Q

Tumor marker of GIST

A

C-KIT (CD 117)

45
Q

Most common type of GIST

A

Epithelial cell stroma

46
Q

Treatment for unresectable GIST/ metastatic

A

Imatinib

47
Q

Arise from gastric entero chromaffin cells

A

Gastric carcinoids

48
Q

Treatment for carcinoid syndrome

A

Debulking surgery

Somatostatin analogue

49
Q

Associated with proteun losing enteropathy and hypochlorydia;
Biopsy: diffuse hyperplasia of surface mucus secreting cells and decreased parietal cell

A

MENETRIER’s disease

Or hypertrophic gastropathy

50
Q

Dilated mucosal blood vessel in stomach

A

Gastric antral vascular ectasia or

“WATERMELON stomach”

51
Q

Congenital malformation with unusually large tortous submucosal artery

A

Dieulafoy’s lesion

SURGERY (france) (8 decks)

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