Upper GI surgery Flashcards
Which type of oesophageal cancer is found more likely in lower socio-economic status?
Sqaumous cell
What happens if staging shows the oesophageal cancer is metastasis?
No further staging required
Palliative therapy
What happens if staging shows the oesophageal cancer is resectable?
Further imaging - EUS, PET CT
Stenting
Palliative radiotherapy/ chemotherapy
Which imaging determines metastasis stage?
PET CT
What is the treatment for oesophageal cancer if there is no metastatic disease but concerns about resection?
Chemo/ radiotherapy
What is the counduit used for oesophagectomy?
Stomach
Colon
Name the approaches for oesophagectomy
Ivor Lewis
Trans-hiatal
Left thoracic-abdominal
What is the morbidity for oesophagectomy?
20-30%
What happens in the chest part in oesophagectomy?
Oesophageal resection
Gastro-oesophageal anastomoses
What happens in the abdomen part in oesophagectomy?
Gastric mobilisation
What is the types of gastric cancer surgery
Subtotal gastrectomy
Total gastrectomy and roux en Y reconsuction
What are the type of cuts used for gastrectomy?
Open
Laparoscopy
What reflex percent is abnormal
>4% a day
What are the side effects of laparoscopic hiatus hernia
Dysphagia
Difficulty vomiting
Gas bloating
Excess flatulence
Diarrhoea
What level of obesity if barbaric surgery done?
Obesity II and III