General Surgery Presentations Flashcards
1
Q
Give three causes of gastric outlet obstruction
A
Strictures (eg from peptic ulcer)
Malignancy
Bouverets
2
Q
How will gastric outlet obstruction present?
A
Epigastric Pain
Early Satiety
Post Prandial Vomiting
3
Q
Name four investigations for gastric outlet obstruction
A
Bloods
VBG/ABG
Endoscopy (after decompression)
CT with contrast
4
Q
What is your initial management of most acute surgical presentations
A
IV fluids
NBM
Analgesia
Antibiotics
FANA
5
Q
How should gastric outlet obstruction be managed?
A
Initial NG tube and decompression
PPI
OGD can often correct strictures and dilate
Most causes will require definitive surgical intervention