GASTRIC Flashcards
Intraoperative lead during perforated duodenal ulcer operation
Only biopsy duodenum for H. pylori
(not helpful to diagnose for cancer)
But, due biopsied the antrum (even if the symptoms are from the duodenum)
Treatment of lesser curve gastric ulcer
Wedge resection
What tumor can present with hematemesis
GIST
When is Gleevac given
Greater than five mitoses / 50 hpf
Tumor size greater than 5 cm
Recurrence
Metastatic disease
Types of hiatal hernia
Type one - para esophageal - GE junction permeates into chest
Type II -stomach hernia into chest GE junction stays stable
Type III - both GE junction and the fundus hernate into the stomach
procedures needed for paraesophageal hernia
posterior pledget
NEEDS NIssen
How long is glevevac given for GIST
5 years vs life!
Management of esophageal caustic injury that needs surgery
Stage reconstruction
Spit fistula
Treatment of perforated gastric ulcer on the lesser curve
Wedge resection
Treatment of perforated gastric ulcer that is pretty pyloric
Omental patch
serosa patch
Treatment of afferent limb syndrome
Jejune jejunostomy - Braun
or
Roux-en-Y
Test for H pylori when Barretts is found on endoscopy
Clo-test
Where is a door fundoplication performed
Front door 180°
Where is a tuopet fundoplication performed
Back door 270° for extra coverage for the baldness back
Treatment of asymptoma para esophageal hernia
Watch
