Stomach Flashcards
Type 1 Hiatal Hernia
Sliding >90%
Type 2 Hiatal hernia
Purely paraesophageal - GE junction is in the NORMAL location
Type 3 hiatal hernia
Combined sliding and paraesophageal
Type IV hiatal hernia
Entire stomach in chest + another organ (usually colon) - needs repair
Type I gastric ulcer - location and cause
Lesser curve - decreased mucosal protection
Type II gastric ulcer - location and cause
Lesser curve and duodenum - increased acid production
Type III gastric ulcer - location and cause
Type THREE = PRE pyloric - increased acid production
Type IV gastric ulcer - location and cause
Proximal lesser curve - decreased mucosal protection
Type V gastric ulcer - location and cause
Diffuse - NSAIDS
Siewart Classification - Class I
1-5 cm above GE junction
Siewart Classification - Type II
Within 1cm above and 2cm below the GE junction
Siewart Classification Type 3
2-5cm below the GE junction
Type of volvulus that cases rotation along axis of stomach from GE junction to pylorus
Organoaxial
Type of volvulus that causes rotation along short axis of stomach bisecting the lesser and greater curvature
Mesoaxial
Deemester score of greater than _____ indicates reflux
14.72
Bochdalek Hernia
Diaphragmatic posterior lateral
Morgagni Hernia
Congenital Anterior Diaphragmatic Hernia
H. pylori triple therapy
- Amoxicillin (or Flagyl), 2. Clarithromycin, 3. PPI
Treatment for bleeding that cannot be controlled endoscopically?
Midline laparotomy, anterior gastrotomy, oversew the bleeding area, biopsy, close