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A ORAL BOARDS 2016 > GASTRIC > Flashcards

Flashcards in GASTRIC Deck (17):
1

Intraoperative lead during perforated duodenal ulcer operation

Only biopsy duodenum for H. pylori
(not helpful to diagnose for cancer)

But, due biopsied the antrum (even if the symptoms are from the duodenum)

2

Treatment of lesser curve gastric ulcer

Wedge resection

3

What tumor can present with hematemesis

GIST

4

When is Gleevac given

Greater than five mitoses / 50 hpf

Tumor size greater than 5 cm

Recurrence

Metastatic disease

5

Types of hiatal hernia

Type one - para esophageal - GE junction permeates into chest

Type II -stomach hernia into chest GE junction stays stable

Type III - both GE junction and the fundus hernate into the stomach

6

procedures needed for paraesophageal hernia

posterior pledget

NEEDS NIssen

7

How long is glevevac given for GIST

5 years vs life!

8

Management of esophageal caustic injury that needs surgery

Stage reconstruction

Spit fistula

9

Treatment of perforated gastric ulcer on the lesser curve

Wedge resection

10

Treatment of perforated gastric ulcer that is pretty pyloric

Omental patch

serosa patch

11

Treatment of afferent limb syndrome

Jejune jejunostomy - Braun

or

Roux-en-Y

12

Test for H pylori when Barretts is found on endoscopy

Clo-test

13

Where is a door fundoplication performed

Front door 180°

14

Where is a tuopet fundoplication performed

Back door 270° for extra coverage for the baldness back

15

Treatment of asymptoma para esophageal hernia

Watch

16

What do you have to watch out for with three-point ligation of bleeding duodenal ulcer

Watch out for the common bile duct

17

Management of gird in morbid obesity

Consider roux en y

One third will fail missing