Lecture 23: Clinical Focus: GIT/Colorectal Surgery/Surgical Anatomy of Abdomen

Question 1

What can a paraesophageal hernia lead to?

Answer 1

Volvulus hernia - ischemic stomach

Question 2

What is achalasia?

Answer 2

Collection of diseases, main feature is an inability to swallow due to peristalsis apparatus of oesophagus not working and lower oesophageal sphincter does not relax, can be managed laproscopically

Question 3

Why are bleeding duodenal ulcers not so common now?

Answer 3

Over the counter anti acid medications

Question 4

What is a perforated ulcer?

Answer 4

Ulcer that has eroded through the intestine

Question 5

How often does the cystic duct join the hepatic duct?

Answer 5

50%

Question 6

What happens when you split the liver down the principal plane?

Answer 6

Little to no bleeding or bile leakage

Question 7

What are small bowel obstructions commonly involved with?

Answer 7

Adhesions and herniae

Question 8

What is ulceric colitis?

Answer 8

Acute inflammatory condition that just involved the colon (unlike chrons that can involve the whole GIT)

Question 9

What % of people have a right colic artery?

Answer 9

10-20%

Question 10

What group of people is rectal prolapse common in?

Answer 10

Elderly women - not practical to do abdominal operation

Question 11

What is a spigelian hernia?

Answer 11

Rare hernia of the lateral rectus abdominus