Upper GI surgery

Question 1

adenocarcinomas often occur in the DISTAL third of the oesophagus as a result of

Answer 1

obesity

gastro-oesophageal reflux (barretts metaplasia)

Question 2

squamous cell carcinomas often occur in the proximal and middle third of the oesophagus as a result in

Answer 2

smoking

alcohol

Question 3

upper GI surgery investigations

Answer 3

endoscopy

contrast swallow

CT scan

Question 4

Treatment options of metastatic cancer

Answer 4

stenting

palliative radiotherapy

palliative chemo

Question 5

treatment options of resectable cancer

Answer 5

oesophagectomy

chemotherapy

radiotherapy

Question 6

3 types of oesophagectomy

Answer 6

Ivor lewis

trans-hiatal

left thoraco-abdominal

Question 7

Upper GI endoscopy (ALARM symptoms)

Answer 7

anaemia

loss of weight

anorexia

recent onset of progressive symptoms

masses and melaena

swallowing dissiculty

Question 8

gastric cancer surgery can include

Answer 8

subtotal gastrectomy

Question 9

Side effects of laparoscopic hiatus hernia repair and fundoplication

Answer 9

dysphagia

difficulty to belch and vomit

gas bloating

excess flatulence

diarrhoea