Stomach

Question 1

Chief cells

Answer 1

PEPsinogen
(think a PEPpy chief)

Question 1

Proteolytic enzyme that hydrolyze peptide bonds

Answer 1

Pepsin

Question 2

Excessive reflux of gastric contents into the esophaghus

Answer 2

Gastroesophageal Reflux Disease (GERD)

Question 3

Causes of GERD

Answer 3

Decrease lower esophageal sphincter tone

Question 4

Columnar metaplasia from the normal squamous epithelium as a result of chronic irritation from reflux

Answer 4

Barrett’s esophagus

Question 5

What is the major concern with Barrett’s esophagus

Answer 5

Developing cancer

Question 6

What type of cancer develops in Barrett’s esophagus

Answer 6

Adenocarcinoma

Question 7

360 degree fundoplication (laparoscopically)

Answer 7

Laparoscopic nissen fundoplication

Question 8

Incomplete (=200 degree) posterior wrap

Answer 8

Toupet

Question 9

What operation is performed for tumor in the
Antrum
Midbody
Proximal

Answer 9

Antrum = Distal subtotal gastrectomy
Midbody = Total gastrectomy
Proximal = Total gastrectomy

Question 10

75% of the stomach is removed

Answer 10

Subtotal gastrectomy

Question 11

Stomach is removed and a Roux en- Y limb is sewn to the esophagus

Answer 11

Total gastrectomy

Question 12

Twisting of the stomach

Answer 12

Gastric volvulus

Question 13

Weight reduction surgery for the morbidly obese

Answer 13

Bariatric surgery

Question 14

Define morbid obesity

Answer 14

BMI = >40 100 pounds above ideal body mass

Question 15

Stapling off a small gastric pouch (restrictive)

Answer 15

Sleeve gastrectomy

Question 16

Roux-en-Y limb to gastric pouch (bypass)

Answer 16

Gastric bypass

Question 17

What is the most common sign of an anastomotic leak after a gastric bypass

Answer 17

Tachycardia