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Y3R6: Surgery I 👨‍⚕️ > L1: GERD & Hiatus Hernia > Flashcards

L1: GERD & Hiatus Hernia Flashcards

1
Q

Def of GERD

A
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2
Q

Incidence of GERD

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3
Q

Symptoms of GERD may be due …..

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4
Q

Anatomical Factors of GERD

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5
Q

Lemgth of intra-abdomian esophagus & GERD

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6
Q

Physiological Factors of GERD

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7
Q

Other Factors of GERD

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8
Q

Pathogenesis of GERD

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9
Q

Typical Symptoms of GERD

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10
Q

Retrosternal Pain in GERD

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11
Q

Atypical Symptoms of GORD

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12
Q

Dyshphagia in GERD

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13
Q

Gastric Manifestation

  • Atypical Symptoms of GORD
A
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14
Q

Pulmonary Manifestation in GERD

  • Atypical Symptoms of GORD
A
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15
Q

ENT Symptoms

  • Atypical Symptoms of GORD
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16
Q

Cardiac Manifestations

  • Atypical Symptoms of GORD
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17
Q

what is Globus?

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18
Q

Johnson-DeMeester’s scoring system

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19
Q

Complications of GERD

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20
Q

Categories of investigations for GERD

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21
Q

Investigations for GERD to detect structural abnormality

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22
Q

Flexible Endoscope

  • Investigations for GERD to detect structural abnormality
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23
Q

Barium Swallow

  • Investigations for GERD to detect structural abnormality
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24
Q

Investigations for GERD to detect Exposure to gastric juice

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25
Q

Investigations for GERD to detect Functional Abnormalitis

A
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26
Q

Investigations for GERD to detect Functional Abnormalitis

  • Indication of Esophagus manometry
A
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26
Q

Grading of esophagitis by endoscopy.

A
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27
Q

Investigations for GERD to detect Functional Abnormalitis
- Findings in Esophagus manometry

A
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28
Q

Investigations for GERD to detect Functional Abnormalitis

  • Indication of 24-Hour Ph Monitoring
A
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29
Q

Investigations for GERD to detect Functional Abnormalitis

  • Procedure of 24-Hour Ph Monitoring
A
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30
Q

Investigations for GERD to detect Functional Abnormalitis

  • Finding of 24-Hour Ph Monitoring
A
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31
Q

GERD Phenotypes

A
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32
Q

Characters of Refractory Esophagitis

A
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33
Q

Characters of Barrett’s esophagus

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34
Q

Algorithm in TTT of GERD

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35
Q

Managment lines of GERD

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36
Q

Lifestyle modification

  • TTT of GERD
A
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37
Q

Indication of medical therapy

  • TTT of GERD
A
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38
Q

Types of drugs

  • TTT of GERD
A
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39
Q

Examples of PPI

  • TTT of GERD
A
40
Q

Indication of PPI

  • TTT of GERD
A
41
Q

Effect of PPI

  • TTT of GERD
A
42
Q

Dose of PPI

  • TTT of GERD
A
43
Q

MOA of PPI

  • TTT of GERD
A
44
Q

SE of PPI

  • TTT of GERD
A
45
Q

Examples of Prokinetic Drugs

  • TTT of GERD
A
46
Q

Use of Prokinetic Drugs

  • TTT of GERD
A
47
Q

MOA of Baclofen

  • TTT of GERD
A
48
Q

Dose of Baclofen

  • TTT of GERD
A
49
Q

SE of Baclofen

  • TTT of GERD
A
50
Q

For patients with classic GERD symptoms without alarm symptoms —>

A

an 8-week trial of empiric PPIs once daily before a meal is recommended.

51
Q

ACG recommends attempting to discontinue the PPIs in patients whose classic GERD symptoms …… to an 8-week empiric trial of PPIs.

A

respond

52
Q

ACG recommend …….., in patients whose classic GERD symptoms do not respond adequately to an 8-week empiric trial of PPIs or whose symptoms return when PPIs are discontinued.

A

diagnostic endoscopy, ideally after PPIs are stopped for 2–4 weeks

53
Q

ACG guidelines do not recommend ……. for GERD therapy except during pregnancy

A

sucralfate

54
Q

ACG recommend PPI administration 30–60 minutes …… a meal rather than at bedtime for GERD symptom control.

A

before

55
Q

ACG guidelines suggest ………. for heartburn symptom control in patients with NERD

A

on-demand or intermittent PPI therapy

56
Q

ACG recommend maintenance ……… for patients with LA grade C or D esophagitis.

A

PPI therapy indefinitely or antireflux surgery

57
Q

ACG do not recommend baclofen in the absence of objective evidence of GERD.

A

…….

58
Q

Indication of surgery

  • TTT of GERD
A
59
Q

Surgical TTT for GERD

A
60
Q

Name of Anti-reflux procedure

A
61
Q

Aim of fundoplication

A
62
Q

Procedure of fundoplication

A
63
Q

Operations of Anti-reflux procedures

A
64
Q

Complications of Anti-reflux procedures

A
65
Q

which anti-reflux procedure is the most common?

A
66
Q

Advantages of Laparoscopic Nissen’s total fundoplication

A
67
Q

Precautions in Laparoscopic Nissen’s total fundoplication

A
68
Q

Procedure of Belsey Mark IV operation

A
69
Q

Advamtages of Belsey Mark IV operation

A
70
Q

TTT of recurrent GERD

A
71
Q

Procedure of Hill’s repair

A
72
Q

Repair of GERD with HH

A
73
Q

Bariatric Surgery for TTT of GERD

A
74
Q

Endoluminal therapies for GERD

A
75
Q

Plexiglass microspheres (PMMA)

A
76
Q

Gatekeeper reflux repair system

A
77
Q

Stretta catheter

A
78
Q

Def of Hiatal Hernia

A
78
Q

Enteryx injection technique

A
78
Q

Anatomical factors which prevent sliding hernia

A
79
Q

Types of Hiatal Hernia

A
79
Q

Symptoms of Hiatal Hernia

A
80
Q

Causes of Sliding Hernia

A
81
Q

CP of Sliding Hernia

A
82
Q

Investigations for Sliding Hernia

A
83
Q

Finding of oesophagoscopy in Sliding Hernia

A
84
Q

Barium meal in the Trendelenburg position

  • Investigations for Sliding Hernia
A
85
Q

TTT of Sliding Hernia

A
86
Q

CP of Rolling (Paraesophageal) Hernia

A
87
Q

Pathology of Rolling (Paraesophageal) Hernia

A
88
Q

TTT of Rolling (Paraesophageal) Hernia

A
88
Q

Investigations for Rolling (Paraesophageal) Hernia

A
88
Q

Pathology of Mixed Hernia

A
89
Q

Historical TTT of Mixed Hernia

A
89
Q

TTT of Mixed Hernia

A
90
Q

Complications of Healtal Hernia

A
91
Q

Done

A

Y3R6: Surgery I 👨‍⚕️ (30 decks)

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