Upper GI Surgery

Question 1

What is the presentation of Oesophageal cancer?

Answer 1

1) Progressive dysphagia
2) Anorexia & weight loss
3) Odynophagia
4) Chest pain/heartburn
5) Haematemesis

Question 2

What are the investigations of Oesophageal cancer?

Answer 2

Endoscopy

Contrast swallow

Question 3

How is Oesophageal cancer staged?

Answer 3

CT & PET scans to identify local invasion and metastatic spread

Question 4

What is the pharmacological or surgical management of Oesophageal Cancer?

Answer 4

Surgery

Question 5

What is the presentation of Gastric cancer?

Answer 5

1) Dyspepsia
2) ALARM features:
- Dysphagia
- GI bleeding
- Weight loss
- Vomiting
- Upper abdominal mass

Question 6

What are the investigations of gastric cancer?

Answer 6

Endoscopy

Contrast meal

Question 7

How is gastric cancer staged?

Answer 7

CT chest/abdomen

Question 8

What is the pharmacological or surgical treatment of gastric cancer?

Answer 8

Surgical:

• Resection
• In advanced cases, total gastrectomy with lymphadenectomy is operation of choice

Palliative treatment:

• Chemotherapy

Question 9

What is the presentation of GORD?

Answer 9

Water brash

Heartburn

Cough

Question 10

How is GORD investigated?

Answer 10

Endoscopy

Oesophageal pH studies

Question 11

How is GORD managed?

Answer 11

Lifestyle modification

PPI’s

Surgery

Question 12

What are the indications for Bariatric surgery?

Answer 12

BMI > 35