SAGES Reviews Flashcards
Increased risk of bleeding on endoscopy.
History of CHF (renal, cardiac, or hepatic failure) outranks anemia, blood on endoscopy, Mallory-Weiss tears, and low BP.
UGIB w/ ulcer controlled on endoscopy. What to do next?
Biopsy and start PPI drip.
Stress gastritis shows what on biopsy?
areas of coagulation necrosis
Pediatric patient is drooling and XR show FB. Next step?
upper endoscopy
Exclusion for bariatric surgery?
psychologic instability, active drug use
Strong contraindication for PEG?
ascites
Late dumping syndrome management?
diet modification, then somatostatin analogue
Treatment for reflux gastritis after antrectomy and B1?
Roux-en-Y
S/p upper GI bypass what is most common presentation for leak?
tachycardia, can be only presenting sign, do upper GI next
BII not tolerated w/ gastroparesis (dx by gastric emptying study), what is next?
near total gastrectomy w/ roux-en-y
1st test for dysphagia?
upper-Gi swallow/ esophagram
hiatal hernia most likely association?
obesity
what does severe osteoporosis mean for someone with reflux?
PPI is contraindicated - impairs acid content of stomach and calcium absorption
s/p fundoplication most common way to fail?
intrathoracic migration of wrap
most common hernia in females?
indirect inguinal
most common complication after hernia repair?
pain
lap inguinal hernia repair pain 2/2 what?
entrapment of lateral femoral cutaneous nerve
Unlikely to respond to splenectomy?
sideroblastic anemia (bone marrow problem, not spleen removal problem)
direct lap inguinal hernia repair - where is hernia located?
medial inguinal fossa
does inguinal approach to femoral hernia require incision of inguinal floor?
yes - transverse fascia;
repair w/ McVay or mesh
most common location for accessory spleen?
hilar region
cirrhotic w/ hernia and slow ooze of ascites
bedrest, IV abx, medical diuresis, hernia repair
testicular atrophy s/p inguinal hernia repair 2/2 what?
thrombosis of the veins in the spermatic cord 2/2 overly aggressive dissection
chlamydial proctitis tx
tetracycline or doxycycline
signet ring components in pathology for colon cancer genetic marker?
MSI
anal canal cancer tx?
primary chemoradiation
what is treatment for severe-to-fulminant chronic ulcerative colitis?
severe/fulminant - total colectomy w/ preservation of the superior rectal artery
rectovaginal fistula tx
endorectal advancement anorectal flap
ileal resection can cause what?
megaloblastic anemia, nephrolithiasis, cholelithiasis, bile salt diarrhea
most sensitive test for cholecystitis
HIDA, can also help w/ biliary dyskinesia
what percentage of adults w/ intussusception have a lead point?
90%; adults require an operation, the opposite is true for children
what agent has been shown to decrease the severity of nausea/vomiting and discomfort in patients w/ malignant bowel obstruction?
octreotide
