Stomach Flashcards
1
Q
Recommended position for G-tube through skin (perc)
A
3cm below costal margin
3cm to L of midline
2
Q
Most likely diagnosis?
Young pt, months after RnY BP, lost 40 pounds, chronic abd pain in epigastrium, no bloating or PO intolerance, recently started smoking
A
Marginal ulcer
MC on jejunal side of anastomosis d/t irritation from gastric acid distal to new gastrojejunal anastomosis
Tx: upper endoscopy (dx), then high dose PPI, smoking cessation, tx H. pylori, avoid NSAIDs
3
Q
gastrogastric fistula following RnY BP
A
connection b/w gastric pouch and excluded stomach. counteracts restrictive and malabsorptive goals of RnY BP as food passes through biliopancreatic limb
