Hepto-Billary surgery Flashcards
What size of gall polyp is indication for resection
10mm
Risk factors of cholesterol gall stones
female
OCP
poor diet
Risk factors of pigment gall stones
bile infection
haemolytic anaemia
Gall bladder symptoms
bloating feeling in upper right quadrant
colic feeling in epigastric region, worse when eating fatty foods
cholecystitis symptoms and clinical signs
Localised pain in upper right quadrant
high temp
crp elevated
white blood cell count
What is choledocho-lithiasis
gall stones blocking the common bile duct
Charcot’s triad is a sign of what
What is Charcot’s triad
Sign of ascending cholangitis
Jaundice, rigors, painful fever
What can be used to detect gall stones which don’t show up on ultra sound
EUS (endoscopic ultrasound)
Gallstone treatment for people who are not fit for surgery
Dissolution- thinning the bile
Lithotripsy- breaking the stones up so they can be passed
What is the gold standard for cholecystectomy
laparoscopic cholecystectomy
What should be done when risk of gallbladder perforation
Drain put in under ultrasound
What is biliary atresia
Congenital disorder when babies are born without bile ducts
What is choledochal cysts
Dilation of bile ducts
What is a biliary enteric fistula
An opening between gall bladder and GI tract. Gall stones are passed into GI tract
Biliary enteric fistula can lead to what and where
Small bowel obstruction
terminal end of ilium
