GI Flashcards
1
Q
Gardner syndrome
A
- hyperplastic stomach polyps
- adenomatous bowel polyps
- desmoid tumors
- osteomas
- papillary thyroid cancer
2
Q
Turcot syndrome
A
- hyper plastic stomach polyps
- adenomatous bowel polyps
- gliomas and medulloblastomas
3
Q
Peutz Jegher’s syndrome
A
- small and large bowel cancer
- pancreatic cancer
- GYN cancer
- sertoli cell tumors
- mucocutaneous pigmentation
4
Q
Cowden
A
- breast cancer
- thyroid cancer
- lhermitte-duclos
5
Q
Carney’s traid
A
- extra-adrenal pheochromocytoma
- GIST
- pulmonary chondroma
6
Q
Bilroth 1
- complications?
A
pylorus removed, proximal stomach is sewed to the duodenum
- less post -op gastritis compared to bilroth 2
- more early post-op complications
7
Q
billroth 2
- complications?
A
- partial gastrectomy, and stomach is attached to jejunum
- dumping syndrome
- afferent loop syndrome
- increased risk of gastric cancer 10-20 years after surgery
8
Q
Celiac sprue associations
A
- iron deficiency anemia
- idiopathic pulmonary hemosiderosis (Lane Hamilton syndrome)
- dermatitis herpetiformis
- increased risk of bowel lymphoma
- fold reversal
- Moulage sign - dilated bowel with effaced folds
- cavitary lymph nodes (low density)
- splenic atrophy
9
Q
Grynfeltt-Lesshaft
A
- hernia through superior lumbar triangle
10
Q
Petit hernia
A
hernia through inferior lumbar triangle
11
Q
3 sites for internal hernia after Roux-en Y gastric bypass
A
- defect in transverse mesocolon, through which the Roux limb passes (if done in retrocolic position)
- mesenteric defect at enteroenterostomy
- behind roux limb mesentery placed in a retrocolic or antecolic position - Petersen type hernia
12
Q
paraduodenal hernia
A
most common type of internal hernia; 75% on the left
- occurs at duodenojejunal junction (Foss of Landzert)
- sac contains IMV and left colic artery
- right sided occur just below transverse segment of duodenum at Fossa of Waldeyer and behind the SMA
