Stomach And Duodenum

Question 1

Congenital hypertrophic pyloric stenosis
Acid base disorder?
Best fluid for management?

Answer 1

1) Hypochloremic hypokalemic alkalosis with paradoxical aciduria
2) 1/2 NS + 2.5D +KCl»RL

Question 2

Differential diagnosis of hypertrophic mucosa of stomach

Answer 2

Menetrier disease
Zollinger Ellison
CMV
H pylori

Question 3

Best x-ray for peritonitis

Answer 3

X ray chest erect> left lateral decubitus view> abdomen erect

Question 4

Symptoms of posterior duodenal perforation

Answer 4

1) gastroduodenal artery bleeding
2) Valentino syndrome ( RIF Pain)
3) renal veil sign

Treatment of choice for massive bleeding due to posterior duodenal perforation is sclerotherapy with epinephrine.

Question 5

1) Most common mode of metastasis for gastric carcinoma
2) Most important prognostic indicator for oesophagus and stomach cancer
3) Most important prognostic indicator for colon cancer
4) Most important prognostic indicator for metastatic potential

Answer 5

Lymph node >blood

Depth (T) stage…..not node

Node involvement

Depth(T) stage

Question 6

Most common area for recurrence of gastric carcinoma after surgery

Answer 6

Gastric bed and anastomosis

These are very responsive to radiotherapy even though the cancer itself is not

Question 7

Second most common gastric cancer

Most common primary gastric lymphoma

Answer 7

Non hodgkin lymphoma- DLBCL

MALToma

Question 8

Most common mode of metastasis of leiomyosarcoma (GIST)

Margin needed for resection

Answer 8

Blood

1 cm

Question 9

Double bubble sign in X Ray seen in

Answer 9

1) duodenal atresia
2) annular pancreas
3) Ladd band