Surgical options for certain conditions (duodenal ulcers)

Question 1

Truncal vagotomy

Answer 1

Pyloroplasty

Question 2

Duodenal perforation

Answer 2

Graham patch

Truncal vagotomy and pyloroplasty

Question 3

Duodenal obstruction resulting from duodenal ulcer scarring

Answer 3

Truncal vagotomy, antrectomy, and GDuodenostomy (B1 or BII)

Question 4

Duodenal ulcer intractability

Answer 4

PGV(highly selective vagotomy
vagotomy and pyloroplasty
Vagotomy and antrectomy BI or BII

Question 5

Which ulcer operation has the highest ulcer recurrence?

Answer 5

PGV (proximal gastric vagotomy)

Question 6

Which ulcer operation has the lowest ulcer recurrence rate and the highest dumping syndrome rate?

Answer 6

Vagotomy and antrectomy

Question 7

Why must you perform a drainage procedure? (pyloroplasty, antrectomy after a truncal vaagotomy?

Answer 7

Pylorus will not open after a truncal vagotomy

Question 8

Which duodenal ulcer operation has the lowest mortality rate?

Answer 8

PGV (1/200 mortality)
Truncal Vagotomy and pyloroplasty (1-2/200)
Vagotomy and antrectomy