GI Medicine 8 - Chronic Vomiting and Diarrhoea 2 Flashcards
List three structural causes of delayed gastric emptying.
Pyloric foreign body
Pyloric mass lesion
Chronic hypertrophic pylorogastropathy
When is surgery required for a primaey GI abnormality causing chronic vomiting/diarrhoea?
Chronic foriegn body
Focal intestinal mass lesion
Concern for sepsis/perforation
Chronic hypertrophic pylorogastropathy
What are the two methods of intestinal biopsy?
Laparotomy
Endoscopy
What is the surgical risk of dehiscence of a laparotomy?
2-12%
For how long should you fast before a colonoscopy?
24-36 (up to 48) hours
How would you perfom oral laval before a colonoscopy?
Polyethylene glycol electrolyte solutions.
Where should you biopsy in diffuse disease?
For diffuse disease, the ileum is the most representative.
List two types diffuse neoplasia of the gastrointestinal tract.
Small cell lymphoma
Large cell lymphoma
List three types of focal neoplasia of the gastrointestinal tracts.
Adenocarcinoma
Leiomyo/sarcoma
Gastro-intestinal Stromal Tumour (GIST)
What are the four types of infiltrate relating to different types of infiltrate?
Lymphoplasmacytic
Eosinophilic
(Neutrophilic)
(Histiocytic)
List four things you should exclude with lymphoplasmacytic and/or eosinophilic disease.
Extra-GI disease
Parasitism
Food responsive disease (FRD)
Antibiotic responsive disease (ARD)
What are the two types of treatment of idiopathic inflammatory bowel disease?
Exclusion diet
Immunosuppression
What may iIBD progress to in cats?
Small cell lymphoma
List three causes of chronic gastritis
Dietary sensitivity
Idiopathic
Spiral bacteria? (Helicobacter?)
How would you treat chronic gastritis?
Removal of aetiological agent if known
Acid blockers - PPIs are superior to H2 antagonists
Dit
‘Triple therapy’ for spiral bacteria
Corticosteroids.
