Upper GI Flashcards
Solid Dysphagia for 6 months, retrosternal pain which worsens in lying flat & leaning forward, endoscopy showing smooth stricture
Benign stricture
Site of zinc absorption
Duodenum and jejunum
Complication of anterior gastro- jejunostomy
Delayed enjoying
Flatulent dyspepsia
Why pyloroplasty after vagotomy
It increases gastric emptying
Gastrinoma is under which MEN
Type 1
Most common site of gastrinoma
Duodenum 50%
Other name of gastrinoma
Zollinger Ellison syndrome
Triad of zollinger Ellison syndrome
- Non beta cell tumor of pancreas
- Hyper gastrin emia
- Severe ulcer
Treatment is high grade multifocal oesophageal dysplasia
Resection
Most likely cause of obstructive jaundice in HIV positive patient
Sclerosing cholangitis
Small punch out lesion of stomach without fibrosis
Acute peptic ulcer
What is rockall score
Mortality risk assessment of patients with upper GI bleeding
Variables of rockall score
Age
Hemodynamic shock
Coexisting illness
Endoscopic signs
https://www.researchgate.net/figure/Rockall-score-assessment-criteria_tbl2_221734465
Use of McKeown procedure
Total oesophagectomy
Treatment of 1cm focus of high grade dysplasia in Barrettes oesophagus
Endoscopic mucosal resection
Result of vagus nerve damage
Delayed gastric emptying
Nerve at risk of injury during fundoplication
Vagus
Management of oesophageal obstruction with liver metastasis
Self expanding metallic stent
Management of upper oesophageal SCC
Combined radio and chemo
Cause of late dumping syndrome
Excess insulin release
Most common cause of bleeding from single large tortuous arteriole in stomach
Dieulafoy lesion
Carcinoma with achalasia cardia
SCC
Most appropriate investigation of suspicious dysplasia with Barrett oesophagus
Endoscopy with quadrantic biopsy
Is distal adenocarcinoma of oesophagus with liver metastasis curable
No
Provide metallic stent with chemo & radio
Is distal adenocarcinoma of oesophagus with liver metastasis curable
No
Provide metallic stent with chemo & radio
