GI Surgeries Flashcards
What is the surgical treatment for appendicitis?
Laparascopic appendicectomy (convert to open sometimes).
What would you do if bowel obstruction needed surgical management?
Laparotomy.
In mesenteric ischaemia when the bowel is non-viable, what should you do?
Resect.
What can you perform is the bowel is viable in mesenteric ischaemia?
An SMA embolectomy.
What is the surgical management of obstruction due to colorectal cancer?
Colostomy, resection and colostomy, resection and anastomosis or stenting.
What are the 6 possible surgeries for colonic cancer?
- Right hemicolectomy.
- Extended right hemicolectomy.
- Transverse colectomy.
- Left hemicolectomy.
- Sigmoid colectomy.
- Subtotal colectomy.
What are the 2 main surgeries for rectal cancer?
Abdomino-perineal excision.
Anterior resection.
What is another possible surgery for rectal cancer?
Local excision.
What is the emergency operation in UC?
Subtotal colectomy.
What is the emergency operation for Crohn’s?
Resection.
What are the 2 elective surgeries for UC?
Proctocolectomy with end ileostomy.
Proctocolectomy with ileorectal anastomosis.
What are the 4 elective surgeries in Crohn’s?
Resection, stricturoplasty, fistulas, anal disease.
What is the treatment of acute cholecystitis?
Urgent or interval cholecystectomy.
What is the surgical treatment of gallstone ileus?
Urgent laparotomy and SB enterotomy to remove stone.
Interval cholecystectomy in 3 months.
What is the surgical treatment of cholangiocarcinoma?
Surgical resection.
Palliation: biliary stent.
What is the treatment of haemorrhoids?
Sclerosation therapy. Rubber band ligation. Open haemorrhoidectomy. Stapled haemorrhoidectomy. HALO/THD procedure.
What is the HALO procedure?
Where doppler ultrasound locates branches of arteries supplying haemorrhoids and ligates them.
What are the 4 surgical managements of complete prolapse?
- Delorme’s procedure.
- Perineal rectopexy.
- Abdominal rectopexy.
- Anterior resection.
What is the management of incomplete prolapse in adults?
Similar to haemorrhoids.
What is the treatment of anal fissure?
- Dietary advice and stool softeners.
- Pharmacological sphincterotomy (GTN and diltiazem PR).
- Lateral sphincterotomy.
- Botox injection.
What is the surgical management of fistula in ano?
Insertion of seton.
LIFT procedure (scraping out and suturing fistula tract).
Glue/permacol.
Defunctioning colostomy.
What is the treatment of a pancreatic pseudocyst?
- Nothing.
- Endoscopic drainage.
- Radiological drainage.
- Surgical drainage (cystogastrostomy).
What is the treatment for pancreatic necrosis?
- FNA for microbiology.
- Percutaneous drain.
- Necrosectomy and lavage.
What are the 2 surgical options for chronic pancreatitis?
Pustow procedure.
Frey procedure.
What is the Pustow procedure?
Cutting open pancreas and sticking jejunum to it.
What are the 3 surgical options for pancreatic tumours?
- Whipples procedure.
- Distal pancreatectomy.
- Total pancreatectomy.
What are the 3 palliative surgeries done for pancreatic tumours?
- Biliary bypass.
- Gastric bypass.
- Double bypass.
What are the 2 surgical techniques for repairing inguinal hernias?
Open hernia surgery.
Laparoscopic surgery.
Are paraumbilical hernias repaired?
Almost always.
