Biliary Tract Disease Flashcards Preview

JL Gastrointestinal > Biliary Tract Disease > Flashcards

Flashcards in Biliary Tract Disease Deck (22):
1

What two substances, in excess, can cause gallstones?

Bilirubin and cholesterol

2

What are the four types of gallstones, most common first?

Mixed
Cholesterol
Pigment
Primary Bile Duct Stones

3

What IBD can cause bile salt loss leading to gallstones?

Crohns

4

What are the five Fs for gallstone risk factors?

Forty, female, fatty diet, fat, foetus

5

What does a gallstone impacting in a cystic duct lead to?

Biliary colic

6

What biliary colic, where does the pain ratiate to?

Back/shoulder

7

What is acute cholescystitis?

Inflammation in GB, obstruction of cystic duct

8

What three ways can diagnose gallstones?

1. US
2. CT
3. MRCP

9

What are the 4 steps for treating acute cholecystitis?

1. IV antibiotics and IV fluids
2. Nil by Mouth
3. US to confirm
4. Urgent cholecystectomy

10

What are three complications of gallstones, if they migrate into CBD?

1. Jaundice
2. Cholangitis
3. Acute pancreatitis

11

What investigation is used for diagnosing CBD pathology?

MRCP

12

What technique is used to remove stones?

ERCP

13

What part of the biliary tree is affect if there is itch, nausea, anorexia, jaundice and abnormal LFTs?

CBD

14

What is gallstone ileus?

Gallstone impacted in distal ileum

15

How does gallstone ileus arrive?

Fistula between gallbladder and duodenum

16

What are the two treatments for gallstone ileus?

Urgent laparotomy
Interval cholecystectomy

17

What is the second most common hepatobiliary cancer?

Cholangiocarcinoma

18

What three investigations are done to stage/assess cholangiocarcinoma?

Duplex US
Spiral CT/ERCP/PTC
MRI/MRCP/MRA

19

What treatment is the only chance for cure with cholangiocarcinoma?

Surgical resection of bile duct and liver

20

What is palliation treatment for cholangiocarcinoma?

Biliary stent - ERC/PTC

21

What is the name of the complete resection surgery in cholagniocarcinoma?

Whipples

22

obstructive jaundice, raised CA-9-19 and CEA?

Cholangiocarcinoma