Upper GI Surgery Flashcards
What symptoms does oesophageal cancer present with? (5)
Progressive dysphagia Anorexia and weight loss Odynophagia Chest pain/heartburn Haematemesis
What are the 2 main investigative procedures for oesophageal cancer?
Endoscopy
Contrast swallow
What imaging procedure is done for initial staging for oesophageal cancer?
Chest/Abdomen CT
After a CT scan for oesophageal cancer what is done if it is found to be metastatic/unfit?
Move straight to therapy
After a CT scan for oesophageal cancer what 2 imaging techniques are performed if it is found to be respectable/fit?
Endoscopic Ultrasound - T/N staging
PET CT scan - M staging
What 3 types of treatment are used for metastatic/unfit oesophageal cancer?
Stenting
Palliative radiotherapy
Palliative chemotherapy
What 2 types of treatment are used for respectable/fit oesophageal cancer?
Oesophagectomy
Chemotherapy
What are the 2 main types of surgery to treat gastric cancer?
Subtotal gastrectomy
Total gastrectomy
What are the 2 methods of entry for gastrectomy surgery?
Laparoscopic distal gastrectomy
Open gastrectomy
What are the side effects of laparoscopic hiatus hernia repair and fundoplication? (5)
Dysphagia Gas bloating Excess flautance Dairrhoea Difficulty vomiting
What does bariatric surgery refer to?
All surgical procedures that aim to reduce excess weight
What are the 2 main types of bariatric surgery?
Restrictive
Malabsorbtive
What is the aim of restrictive bariatric operations?
To decrease the size of the stomach causing the patient to be satiated with smaller volumes of food
What is the aim of malabsorptive operations?
To bypass segments of the bowel causing malabsorption of nutrients
Name 3 commonly done bariatric operations?
Laparoscopic adjustable gastric banding
Laparoscopic gastric bypass
Laparoscopic sleeve gastrectomy
