Gastrointestinal Surgery Flashcards
(25 cards)
Barrett’s esophagus is:
a premalignant condition
The left/right gastric, left/right gastroepiploic, and short gastric arteries supply which structure?
stomach
Resection of the sigmoid colon and rectum would be considered a _______________.
proctocolectomy
Which nerve is responsible for the diaphragm?
phrenic
The right colic artery is a branch of the:
superior mesenteric artery
The superior mesenteric and inferior mesenteric arteries anastomose through which of the following vessels? (Refer to Plate 295 in your Atlas of Human Anatomy)
marginal artery
Your surgeon has decided to perform the laparoscopic approach, the patient is placed in the supine position on the OR table and anesthetized. A #11 blade is used to make a small incision at the umbilicus. Using a ___________ (open) technique, the abdominal cavity is entered.
hassan
Your patient presents with pain first, vomiting next and fever last has been described as the classic presentation of this condition. The pain is at the same level as the umbilicus. What is the likely preop diagnosis?
appendicitis
Adenocarcinoma of the small bowel is most commonly associated with:
Familial adenomatous polyposis (FAP)
What should surgery for a bleeding gastric ulcer include?
GASTRIC BX TO RULE OUT CA
The flexure between the transverse colon and the descending colon is referred to as the:
splenic flexure
_____________is a congenital medical condition which affects the alimentary tract. It causes the esophagus to end in a blind-ended pouch rather than connecting normally to the stomach.
Esophageal atresia
Your patient is a 53-year-old male who is otherwise fit presents with a 2 cm carcinoma in the gastric antrum, confined to the submucosa of assessment by endoscopic ultrasound. There is no evidence of metastases on CT scan. What is the likely treatment of choice that your MD is most likely to make:
PARTIAL GASTRECTOMY
The connection of the superior mesenteric and splenic vein is called:
portal vein
What is the term for the tough fibrous white band that extends form the xiphoid process to the pubic symphysis?
Linean alba
Where should biopsies for H. pylori testing be taken from?
the gastric antrum
Retroperitoneal structures are most at risk of inadvertent damage in which of the following procedures:
sigmoid colectomy
The primary difference between the Cushing and Connell suturing techniques for GI anastomosis include which of the following:
The Connell stitch penetrates the mucosal layer, while the Cushing does not
From superior end downward, the three parts of the small intestine are:
duodenum, jejunum, ileum
What is the name of the structure that binds the small intestine to the posterior abdominal wall?
mesentery
26-year-old man is repeatedly having bloody diarrhea. What is the likely diagnosis?
Ulcerative Colitis
Potential disadvantages of laparoscopic colectomy include the following EXCEPT:
Inadvertent diathermy injury to small bowel
Gas embolus
Subcutaneous emphysema
A higher incidence of wound infection than with open colectomy
a higher incidence of wound infection that with open colectomy
A healthy looking 55-year-old male develops mild progressive dysphagia. He describes a feeling of food being stuck in the throat, with coughing episodes on eating. On occasions, he regurgitates undigested food into the mouth some hours after eating. Oesophageal mobility studies are normal. Your MD orders a barium swallow which would be most likely to reveal:
Pharyngo-esophageal diverticulum
Three distinct and visible longitudinal bands of smooth muscle running the length of the colon are referred to as: (Refer to Plate 376 in your Atlas of Human Anatomy)
taenia coli
