Surgical Tut - Gastric Cancer

Question 1

what happens with gastric dumping?

Answer 1

hypoglycaemic because of insulin burst

hypovolaemia because of

Question 2

types of gastric cancers

Answer 2

adenocarcinoma (rolled lesion) (H.pylori)

-intestinal subtype linitus plastica (E-cadherin-genetics)

Question 3

lap band is?

Answer 3

donut that goes around the 4cm below gastroduodenal junction and you can cause a stricture to feel fuller sooner.

Question 4

sleeve gastrectomy?

Answer 4

put a bougie down the stomach, staple of the greater curvature and removal

Question 5

2 types of esophageal cancer?

Answer 5

SCC

adeno

Question 6

risk factors for SCC?

Answer 6

smoking
ETOH
Hot teas
trauma/caustic congestion

Question 7

where does SCC happen?

Answer 7

upper third of esophagus

Question 8

Rx for SCC esophagus?

Answer 8

chemo, radio

Question 9

adenocarcinoma esophagus risk factors? where?

Answer 9

reflux
lower third esophagus
Barrett’s

Question 10

achalasia

Answer 10

motility disorder, sphincter doesn’t relax

Question 11

how to treat achalasia

Answer 11

bolox, Ca2+ blockers

surgery

Question 12

GISTs?

Answer 12

gastrointestinal stromal tumours

Question 13

where are GISTs?

Answer 13

small intestine

stomach

Question 14

GISTs respond to?

Answer 14

monoclonal antibidy

Question 15

GIST is what issue?

Answer 15

mesenchymal tumour

tyrosine kinase receptor, constituant activation

Question 16

GIST treated with?

Answer 16

imatinib

suntinib

Question 17

GIST spread to? where not spread to?

Answer 17

liver, peritoneum

not lymph nodes

Question 18

GIST size?

Answer 18

10cm bad

Question 19

GIST is bad where in GIT?

Answer 19

small intestine

Question 20

macroscopic margin for gastric cancer removal?

Answer 20

5 cm