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Alimentory System > pancreatic surgery > Flashcards

pancreatic surgery Flashcards

1
Q

risk factors for pancreatic cancer

A

ciggarets
chronci pancratis
diabets for less than 2 years
hereditary
inherited preopiesoin

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2
Q

prewsentaio of pancratic caner

A

diabetes, abdomal pain, anorexia, vommitin, weight loss, recurrent botus panctiaons, obsturcive jaunice (pre hepatic)

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3
Q

investigaion for pancratic cancer non invasie

A

tumoru markers, ca19-9 (blood)
cxr
genral testes
uss
ct
mr

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4
Q

invasive test for pancreti ccaner

A

ercp, mrcp, laprosypy, peritno cytolgy, eus, percuatio neede biopys, pet

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5
Q

signs on ercp of oancreatic naer

A

double duct

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6
Q

double duct meanin

A

both pancreatic and bile duct are dilated

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7
Q

test to determine if a paitent is possible to have pancreatic surgery

A

cxr, ecg, resp fucnito test, physolica score (mily lactate)

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8
Q

what is stages of screeing for resecbailty

A

uss then spiral ct/ mri, laproptym then resection is possibel

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9
Q

what hapens if uss, or spianl ct shows tumor is not portialy recpaly

A

ercp adn steing is done

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10
Q

what happen if laprycoy hsows stening is not possible

A

laprosocpic bypass or ercp and stene

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11
Q

what pahen is after laprotym (large cut in abdominal wall) is done and the tumour is not found to be resceoab is done

A

open bypass of pancrese

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12
Q

what is the wipple

A

remove heat do pancrease and attche duodun, the duoduem and bile duct and coall blader, directly to jejuma . the jujum is connect to the sotamch after the pancrase and the common epatic duct is connect direlcy to the jujeum

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13
Q

paltive jajade for obsuticve jaunde

A

bypass, ercp or ptc sedning

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14
Q

dudenal obstion patlive care

A

by pass or duodenal sent

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15
Q

what is acute pancreatio

A

inlfaot of pancere whch can be mild which can lead to reocapry or sever wth organ faiulre

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16
Q

local compation of acure pancreasi

A

acute fluid colleciton, pseudocyts, pancrais absess, pancratic necoroiss

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17
Q

cuase of acute pancreatis

A

gallstones, alchol, viral infetion , tumorus, anatomcla abnomralies, ercp, lipid abdomali, hpercalcea, icheam, drugs, scopion vemno, idiopathic

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18
Q

why does achol cause acute pancratis

A

direct injjery, incrs sentifly to stiumation, acedalthy and fatty acid ehty esters

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19
Q

why does gall sotns calsue pancre

A

rasied pancraic ductal pressure

20
Q

why does ercp cause pancrati

A

raieded pancrati duc pressure

21
Q

symptoms of acute panrea

A

abdomalpain, nausea , vomian , caollpase

22
Q

signs of acute pancreatis

A

pyreexia, dehydaiotn, abdomal tenderness, circulary failrue

23
Q

blood invseioc for acute pancre

A

gluose, u and em serum abolse, clotitn and fbc , lft, abg,

24
Q

sacn for acute pancraits

A

cxr, axr, usss, ct scan

25
Q

what is coverd in the acute pracies glashgow criterisa

A

glucose,
serum ca
wcc
albumin
ldh
urea
ast/ alt
arteireal pO2

26
Q

what markers are presnt in acute pancris

A

crp, il 6 and tap

27
Q

what is comon treatment long term for abcure pancres

A

find issue sucha s alhcolism adn fix tough council
surical issue ssuchha s malignancy, treat with surgyer

28
Q

treatment of acute pancreatis

A

ct scanning for progesion
antibioti,
digaosi of infection
erc if gall stone present
nutritional support vy enteric
manipulation of inlfatory response

29
Q

is ct helpgul in montior acute prnaec

A

yes afer 4-10 days to see if necoirs is present or tlo look for asciete,s absces, and motion of disease

30
Q

is antiboic requeid for acute pancresi

A

no, as they can cuase antibioci resistance if given small dose then a second wave of more signic ancres hapesn

31
Q

what to do if gall stones are present along side pancre

A

removea using ercp

32
Q

what is late compaoit of acure pancreiatis

A

hemorea,e portal hypertio, pancreatic duct stricutre

33
Q

chronci pancreatis

A

chronciinfcaotnof the pancre, caus ign irreveralsbel morphaocl changes, leading to chronic pan and impairemt of endocrine and exocine fucntof the pancrawse

34
Q

what is chronic pancreatis raled with

A

alhcol and being male

35
Q

obstucve cause of chronic panfcrits

A

tumour,
spincter of odi dysfuction,
pancreatic divisum
duodeunal obstuciot
tramau
stucre

36
Q

toxin cuase of chornc pancrea

A

ethanaol, smoking , and drugs

37
Q

is chronic pancre does realsted

A

yes

38
Q

genetic gnes that cuase choihci pancreis

A

domina t - codon 29 and 122
recivesive - cftr, spink 1 and codon a

39
Q

other cuase of chronic pancritis

A

recurent injury to billar, hyperlipidemia, hypercalcemia ,
enviromenta e.e tropics
idiopathic
autoimmune

40
Q

what is resoponse for 70% of pancretics chronic canses

A

alhcol

41
Q

symptons of choci pancreatis

A

pain - lined to binges
janice
constipation

42
Q

sings of chic pancreatis

A

pancratix exocirne insufffice, diabets, jaunice, duodenal obsution, upper gi haemorrhage

43
Q

chronci pancreatits invesigoin

A

ct sacna
ercp - wth pancratic exocine fuciotn
faeclar / swerum enzymes
pancreolauyste test (enzyme response to stimulus)
diagnos enzyme replacement

44
Q

manage ment of chronc pancreatis

A

concelsing, absentanc eform alchol, mangemet of acute aktakce, angelsi, avoid high fat, high proiten diet, pancrati csuplent , anti oxiant therapy, steatorrhera (reduce fat inkae , pancre suppletion ) treat diabetes

45
Q

when shold choc pancreits surgyer be offerd

A

suspision of malignacy,
intractable pain
complioaion, pancratic duct stenois, csyss
bilary tarct obsuciotn
spleic vien thormoisis
portal vien compression
dudoeal stanos
colonic sticure

46
Q

what intervela procedures are availbe for choicn pancratiss

A

pd stenos and obstuion - edospcidc spincetoymy, dilation and lithotripsy
management of choice pseudoctys
csd stening or bypass
thoracospic splanchnectomy
caelica pleux block
- ct guide, eus guice , flurosocpy guidned

47
Q

surgery for choinc pancretis

A

drainage - duct sphincter pospy
pusesow

resection
dpphr
pppd
whipples pancracy duodecotmy
frey proceud
spleee presivn disal pancracy
centlla pancracyly

Alimentory System (31 decks)

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