Stomac si duoden Flashcards
Raporturi stomac
Sup - diafragm
Lat - splina, ficat
Post - pancreas
Inf - marele epiploon
Celulele stomacului ce produc
Parietale (Oxintice) - HCl Principale - Pepsinogen Enterocromafin-like Cel G - Gastrina -> Antru Caliciforme - Mucus
Straturile muscularei
Ext - Longitudinal
Mij - Circular
Int - Oblic
Artere stomac
Gastrice stg / dr
Gastroepiploice stg / dr
Gastrice scurte
Gastroduodenala
Vagul drept si stg
Drept - post -> plex celiac -> panceas, intestin subtire, colon prox
- nv Grassi -> stomac
Stang - ant -> hepatic -> vezicula biliara, tract biliar, ficat
Ce secreta duodenul
Secretina, CCK
Ce secreta duodenul
Secretina, CCK
Artere duoden
Gastroduodenala
AMS
Tipuri histologice de adenocc gastric
- Intestinal - bine dif, varstnici, hematogen
2. Difuz - slab dif, celule inel cu pecete, tineri, limfatic / local
Ggl in adenocc gastric
Virchow - supraclav stg
Mary Joseph - ombilical
Metastaze adenocc gastric in
Ficat, plaman, ovar
Chimioterapice in adenocc gastric
FU, Docetaxel, Oxaliplatin, Leucovorin, Epirubucin, Cisplatin, Capecitabina
Dovada malignitatii GIST
Peste 10 mitoze la 50 de campuri
Metastaze GIST
Ficat
Valoarea gastrinei pt dg de Zollinger- Ellison
> 1000 pg/ml
Investigatia de electie pt Zollinger-Ellison
Testul de stimulare la secretina
Aspect caracteristic in gastrita de reflux
Tirbuson al vaselor de sg submucoase
Cine secreta ghrelina
Cel oxintice
Cel mai prescris med antiobezitate
Fentermina
Ce se da in diaree post-vagotomie
Codeina Clorhidrat de difenoxilat Loperamida Somatostatina Colestiramina
Ce complicatie precoce nu apare la bandarea gastrica
Fistula anastomotica
La ce procedura apare hernia interna
Roux en Y
Complicatii tardive care apare la toate cele 3 proceduri
- Tulb nutritionale
2. Litiaza biliara
