Upper GI Surgery Flashcards
What are the different types of oesophageal cancer?
Adenocarcinoma
Squamous cell carcinoma
What is adenocarcinoma associated with in oesophageal cancer?
Distal oesophagus
Obesity
Barrett’s oesophagus
What is squamous cell carcinoma associated with in oesophageal cancer?
Proximal and middle third of oesophagus
Smoking
Alcohol
How does oesophageal cancer usually present?
Progressive dysphasia Weight loss Odynophagia Chest pain Haematemesis
What investigations are used to diagnose oesophageal cancer?
Endoscopy
Contrast swallow
CT in staging
What are the treatment options for oesophageal cancer?
Stenting
Surgery
Radiotherapy and chemotherapy (palliative)
How does gastric cancer usually present?
Dyspepsia
Dysphagia
Weight loss
Vomiting
What are the risk factors for gastro oesophageal reflux disease?
Obesity
Smoking
Alcohol excess
What are the complications of hiatus hernia repair and fundoplication
Dysphagia Gas bloating Excess flatulence Diarrhoea Difficulty to belch and vomit
What is the criteria for bariatric surgery?
18 to 44 years old
BMI over 35
Type 2 diabetes (less than 5 years since onset)
What are the advantages of gastric banding?
Relatively minor surgery
Reversible
Adjustable
What are the disadvantages of gastric banding?
Requires an implanted medical device
Risk of prolapse or slippage
What are the advantages of gastric bypass?
Quick and dramatic weight loss
Dumping syndrome
What are the disadvantages of gastric bypass?
More invasive surgery
Malabsorptive component requires lifelong supplements
What are the advantages of a sleeve gastrectomy?
No dumping syndrome
No small bowel manipulation
No foreign body