Surgery of GI Tract and its Complications Flashcards
where is the divide between upper and lower GI surgery?
hepatobiliary/pancreatic and above = upper
everything below = lower
what are the branches of the superior mesenteric?
ileo/jejunal branches
ileocolic
right colic
middle colic
what is involved in oesophagectomy?
removal of diseased part of oesophagus and stomach brought up into chest to meet healthy part
what is Nissen Funduplication and why is it performed?
fundus wrapped around top of stomach
for GORD
what is the danger of cholecystectomy?
risk of cutting common bile duct
if common bile duct is cut it can be fatal
What does pancreatectomy involve?
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)
stomas can be temporary or permanent, give examples of each
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
what complications can arise from GI tract surgery?
wound infection (superficial or deep) anastomotic leak (leak at join due to blood supply) paralytic ileus bleeding/haematoma short gut syndrome adhesions scars
what can increase risk of anastamotic leak?
arteriopath
- diseased vessels (eg. calcification, atheromas etc)