Surgery of the Stomach

Question 1

surgical diseases of the stomach

Answer 1

gastric foreign body

benign gastric outflow obstruction

gastric ulceration

neoplasia

oomycosis

GDV

Question 2

gastric foreign bodies signalment

Answer 2

younger animals

previous history of FB ingestion

conditions that predispose to PICA (EPI, hepatic encephalopthy, Fe deficiency)

Question 3

FB removal options

Answer 3

conservative (pass on its own)

endoscopy

gastrotomy

induce emesis

Question 4

the right gastroepiploic artery is located where in the stomach

Answer 4

greater curvature

Question 5

after completing gastric foreign body surgery, what should be done before exploring the rest of the abdomen

Answer 5

change gloves and instruments

Question 6

what is the layer of strenght of the GI tract

Answer 6

SUBMUCOSA!

close in 2 layers: simple continuous in submucosa and cushing pattern

Question 7

when is a single layer closure used

Answer 7

pyloric outflow tract

reduced gastric volume

thickened gastric wall

Question 8

breed disposition for congenital pyloric stenosis/gastric outflow obstruction

Answer 8

brachiocephalic breeds

siamese cat (rare)

Question 9

clinical signs of congenital pyloric stenosis/gastric outflow obstruction

Answer 9

intermittent V+

dietary modification alters signs

normal to decreased body conditions

abdominal distension but no pain

Question 10

radiographic evaluation of pyloric stenosis/gastric outflow obstruction

Answer 10

beak/apple core sign

Question 11

treatment of pyloric stenosis/gastric outflow obstruction

Answer 11

fredet-ramstedt pyloromyotomy

heineke-mikulicz pyloroplasty