GI Surgeries

Question 1

What is the surgical treatment for appendicitis?

Answer 1

Laparascopic appendicectomy (convert to open sometimes).

Question 2

What would you do if bowel obstruction needed surgical management?

Answer 2

Laparotomy.

Question 3

In mesenteric ischaemia when the bowel is non-viable, what should you do?

Answer 3

Resect.

Question 4

What can you perform is the bowel is viable in mesenteric ischaemia?

Answer 4

An SMA embolectomy.

Question 5

What is the surgical management of obstruction due to colorectal cancer?

Answer 5

Colostomy, resection and colostomy, resection and anastomosis or stenting.

Question 6

What are the 6 possible surgeries for colonic cancer?

Answer 6

1. Right hemicolectomy.
2. Extended right hemicolectomy.
3. Transverse colectomy.
4. Left hemicolectomy.
5. Sigmoid colectomy.
6. Subtotal colectomy.

Question 7

What are the 2 main surgeries for rectal cancer?

Answer 7

Abdomino-perineal excision.

Anterior resection.

Question 8

What is another possible surgery for rectal cancer?

Answer 8

Local excision.

Question 9

What is the emergency operation in UC?

Answer 9

Subtotal colectomy.

Question 10

What is the emergency operation for Crohn’s?

Answer 10

Resection.

Question 11

What are the 2 elective surgeries for UC?

Answer 11

Proctocolectomy with end ileostomy.

Proctocolectomy with ileorectal anastomosis.

Question 12

What are the 4 elective surgeries in Crohn’s?

Answer 12

Resection, stricturoplasty, fistulas, anal disease.

Question 13

What is the treatment of acute cholecystitis?

Answer 13

Urgent or interval cholecystectomy.

Question 14

What is the surgical treatment of gallstone ileus?

Answer 14

Urgent laparotomy and SB enterotomy to remove stone.

Interval cholecystectomy in 3 months.

Question 15

What is the surgical treatment of cholangiocarcinoma?

Answer 15

Surgical resection.

Palliation: biliary stent.

Question 16

What is the treatment of haemorrhoids?

Answer 16

Sclerosation therapy. 
Rubber band ligation. 
Open haemorrhoidectomy. 
Stapled haemorrhoidectomy. 
HALO/THD procedure.

Question 17

What is the HALO procedure?

Answer 17

Where doppler ultrasound locates branches of arteries supplying haemorrhoids and ligates them.

Question 18

What are the 4 surgical managements of complete prolapse?

Answer 18

1. Delorme’s procedure.
2. Perineal rectopexy.
3. Abdominal rectopexy.
4. Anterior resection.

Question 19

What is the management of incomplete prolapse in adults?

Answer 19

Similar to haemorrhoids.

Question 20

What is the treatment of anal fissure?

Answer 20

1. Dietary advice and stool softeners.
2. Pharmacological sphincterotomy (GTN and diltiazem PR).
3. Lateral sphincterotomy.
4. Botox injection.

Question 21

What is the surgical management of fistula in ano?

Answer 21

Insertion of seton.
LIFT procedure (scraping out and suturing fistula tract).
Glue/permacol.
Defunctioning colostomy.

Question 22

What is the treatment of a pancreatic pseudocyst?

Answer 22

1. Nothing.
2. Endoscopic drainage.
3. Radiological drainage.
4. Surgical drainage (cystogastrostomy).

Question 23

What is the treatment for pancreatic necrosis?

Answer 23

1. FNA for microbiology.
2. Percutaneous drain.
3. Necrosectomy and lavage.

Question 24

What are the 2 surgical options for chronic pancreatitis?

Answer 24

Pustow procedure.

Frey procedure.

Question 25

What is the Pustow procedure?

Answer 25

Cutting open pancreas and sticking jejunum to it.

Question 26

What are the 3 surgical options for pancreatic tumours?

Answer 26

1. Whipples procedure.
2. Distal pancreatectomy.
3. Total pancreatectomy.

Question 27

What are the 3 palliative surgeries done for pancreatic tumours?

Answer 27

1. Biliary bypass.
2. Gastric bypass.
3. Double bypass.

Question 28

What are the 2 surgical techniques for repairing inguinal hernias?

Answer 28

Open hernia surgery.

Laparoscopic surgery.

Question 29

Are paraumbilical hernias repaired?

Answer 29

Almost always.