Surgeries key facts

Question 1

absolute indication proctocolectomy in UC

Answer 1

dysplastic transformation in the coloni epithelium

Question 2

uncontrolled UC emergency surgery

Answer 2

sub total colectomy
+ end ileostomy

Question 3

restorative surgery UC

Answer 3

ileoanal pouch
(can only occur when rectum is in situ)

Question 4

complications ileoanal pouch

Answer 4

anastomotic dehiscence
pouchitis
poor physiological function

Question 5

indications for surgery for crohns

Answer 5

fistulae
abscess formation
strictures

Question 6

terminal ileal crohns surgical Mx

Answer 6

limited ileocaecacal resections

Question 7

Tx SCC oesophagus

Answer 7

chemoradiotherapy

Question 8

which gastric surgery is most associated with delayed gastric emptying

Answer 8

Anterior gastrojejunostomy

Question 9

which structure is divided during an oesophagectomy to allow mobilisation of the oesophagus

Answer 9

azygous vv

Question 10

Mx when Barretts + low grade dysplasia is found on OGD

Answer 10

Upper GI endoscopy with quadrantic biopsies from the region

Question 11

Mx appendicular abscess

Answer 11

conservatively with ABx

Question 12

Mx rectal cancer with threatened margins (e.g. tethered to the prostate)

Answer 12

long term chemoradiotherapy alone

Question 13

Mx of liver mets following colon cancer resection

Answer 13

chemo followed by surgical resection

Question 14

difference between standard R hemicolectomy and extended R hemicolectomy

Answer 14

Standard right hemicolectomy involves colonic division to the right of the middle colic vessels
Extended right hemicolectomy involves division of the middle colic vessels and usually resection of the splenic flexure as well.