Surgery of GI Tract and its Complications Flashcards

1
Q

where is the divide between upper and lower GI surgery?

A

hepatobiliary/pancreatic and above = upper

everything below = lower

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2
Q

what are the branches of the superior mesenteric?

A

ileo/jejunal branches
ileocolic
right colic
middle colic

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3
Q

what is involved in oesophagectomy?

A

removal of diseased part of oesophagus and stomach brought up into chest to meet healthy part

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4
Q

what is Nissen Funduplication and why is it performed?

A

fundus wrapped around top of stomach

for GORD

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5
Q

what is the danger of cholecystectomy?

A

risk of cutting common bile duct

if common bile duct is cut it can be fatal

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6
Q

What does pancreatectomy involve?

A

can cause diabetes (if tail removed)
must give CREON after if removing part that produced enzymes (head)
Sometimes whole pancreas removed (only chance of survival in pancreatic cancer)

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7
Q

stomas can be temporary or permanent, give examples of each

A

temp - eg emergency surgery for perforated bowel gets resection but too inflamed to join at the time but can reverse stoma after a few months once healed
Permanent - crohns, UC

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8
Q

what complications can arise from GI tract surgery?

A
wound infection (superficial or deep)
anastomotic leak (leak at join due to blood supply)
paralytic ileus
bleeding/haematoma
short gut syndrome
adhesions
scars
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9
Q

what can increase risk of anastamotic leak?

A

arteriopath

- diseased vessels (eg. calcification, atheromas etc)

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