Upper GI Surgery Flashcards

1
Q

What are the different types of oesophageal cancer?

A

Adenocarcinoma

Squamous cell carcinoma

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2
Q

What is adenocarcinoma associated with in oesophageal cancer?

A

Distal oesophagus
Obesity
Barrett’s oesophagus

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3
Q

What is squamous cell carcinoma associated with in oesophageal cancer?

A

Proximal and middle third of oesophagus
Smoking
Alcohol

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4
Q

How does oesophageal cancer usually present?

A
Progressive dysphasia 
Weight loss 
Odynophagia 
Chest pain 
Haematemesis
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5
Q

What investigations are used to diagnose oesophageal cancer?

A

Endoscopy
Contrast swallow
CT in staging

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6
Q

What are the treatment options for oesophageal cancer?

A

Stenting
Surgery
Radiotherapy and chemotherapy (palliative)

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7
Q

How does gastric cancer usually present?

A

Dyspepsia
Dysphagia
Weight loss
Vomiting

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8
Q

What are the risk factors for gastro oesophageal reflux disease?

A

Obesity
Smoking
Alcohol excess

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9
Q

What are the complications of hiatus hernia repair and fundoplication

A
Dysphagia 
Gas bloating 
Excess flatulence 
Diarrhoea 
Difficulty to belch and vomit
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10
Q

What is the criteria for bariatric surgery?

A

18 to 44 years old
BMI over 35
Type 2 diabetes (less than 5 years since onset)

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11
Q

What are the advantages of gastric banding?

A

Relatively minor surgery
Reversible
Adjustable

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12
Q

What are the disadvantages of gastric banding?

A

Requires an implanted medical device

Risk of prolapse or slippage

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13
Q

What are the advantages of gastric bypass?

A

Quick and dramatic weight loss

Dumping syndrome

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14
Q

What are the disadvantages of gastric bypass?

A

More invasive surgery

Malabsorptive component requires lifelong supplements

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15
Q

What are the advantages of a sleeve gastrectomy?

A

No dumping syndrome
No small bowel manipulation
No foreign body

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16
Q

What are the disadvantages of a sleeve gastrectomy?

A

More invasive surgery

Long staple line risk for bleeding or leak

17
Q

What are the complications of bariatric surgery?

A
Anastomotic leak 
DVT/PE 
Infection 
Malnutrition 
Excess skin 
Vitamin and mineral deficiencies