upper GI surgery Flashcards
investigations of oesophageal cancer?
endoscopy
contrast swallow
treatment
Stenting
Palliative radiotherapy
Palliative chemotherapy
what is the approach to oesophagectomy?
Ivor Lewis
Trans-hiatal
Left thoraco-abdominal
what is the conduit for oesophagectomy?
Stomach
Colon
what are modifiable risk factors for stomach cancer?
infection with helicobacter pylori
alcohol
smoking
excessive consumption of salted fish, pickled vegetables and cured meats
presentation of stomach cancer
ALARMS >55
Anemia loss of weight anorexia recent onset of progressive symptoms masses and melaena/haematemesis swallowing difficulty
investigations of stomach cancer
endoscopy and contrast meal
what are methods of gastric cancer surgery?
subtotal gastrectomy
total gastrectomy and roux en y reconstruction
laparoscopic distal gastrectomy
open gastrectomy
symptoms of GORD
heartburn swallowing difficulties sour taste asthma symptoms excessive salvating tooth erosion belching chest pains
investigations for GORD
endoscopy
oesophageal ph studies and manometry
side effects of laparoscopic hiatus hernia repair and fundoplication
Dysphagia Difficulty to belch and vomit Gas Bloating Excess flatulence Diarrhoea
