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Alimentory System > pancreatic surgery > Flashcards

pancreatic surgery Flashcards

(47 cards)

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1
Q

risk factors for pancreatic cancer

A

ciggarets
chronci pancratis
diabets for less than 2 years
hereditary
inherited preopiesoin

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2
Q

prewsentaio of pancratic caner

A

diabetes, abdomal pain, anorexia, vommitin, weight loss, recurrent botus panctiaons, obsturcive jaunice (pre hepatic)

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3
Q

investigaion for pancratic cancer non invasie

A

tumoru markers, ca19-9 (blood)
cxr
genral testes
uss
ct
mr

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4
Q

invasive test for pancreti ccaner

A

ercp, mrcp, laprosypy, peritno cytolgy, eus, percuatio neede biopys, pet

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5
Q

signs on ercp of oancreatic naer

A

double duct

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6
Q

double duct meanin

A

both pancreatic and bile duct are dilated

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7
Q

test to determine if a paitent is possible to have pancreatic surgery

A

cxr, ecg, resp fucnito test, physolica score (mily lactate)

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8
Q

what is stages of screeing for resecbailty

A

uss then spiral ct/ mri, laproptym then resection is possibel

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9
Q

what hapens if uss, or spianl ct shows tumor is not portialy recpaly

A

ercp adn steing is done

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10
Q

what happen if laprycoy hsows stening is not possible

A

laprosocpic bypass or ercp and stene

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11
Q

what pahen is after laprotym (large cut in abdominal wall) is done and the tumour is not found to be resceoab is done

A

open bypass of pancrese

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12
Q

what is the wipple

A

remove heat do pancrease and attche duodun, the duoduem and bile duct and coall blader, directly to jejuma . the jujum is connect to the sotamch after the pancrase and the common epatic duct is connect direlcy to the jujeum

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13
Q

paltive jajade for obsuticve jaunde

A

bypass, ercp or ptc sedning

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14
Q

dudenal obstion patlive care

A

by pass or duodenal sent

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15
Q

what is acute pancreatio

A

inlfaot of pancere whch can be mild which can lead to reocapry or sever wth organ faiulre

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16
Q

local compation of acure pancreasi

A

acute fluid colleciton, pseudocyts, pancrais absess, pancratic necoroiss

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17
Q

cuase of acute pancreatis

A

gallstones, alchol, viral infetion , tumorus, anatomcla abnomralies, ercp, lipid abdomali, hpercalcea, icheam, drugs, scopion vemno, idiopathic

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18
Q

why does achol cause acute pancratis

A

direct injjery, incrs sentifly to stiumation, acedalthy and fatty acid ehty esters

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19
Q

why does gall sotns calsue pancre

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A

rasied pancraic ductal pressure

20
Q

why does ercp cause pancrati

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A

raieded pancrati duc pressure

21
Q

symptoms of acute panrea

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A

abdomalpain, nausea , vomian , caollpase

22
Q

signs of acute pancreatis

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A

pyreexia, dehydaiotn, abdomal tenderness, circulary failrue

23
Q

blood invseioc for acute pancre

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A

gluose, u and em serum abolse, clotitn and fbc , lft, abg,

24
Q

sacn for acute pancraits

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A

cxr, axr, usss, ct scan

25
what is coverd in the acute pracies glashgow criterisa
glucose, serum ca wcc albumin ldh urea ast/ alt arteireal pO2
26
what markers are presnt in acute pancris
crp, il 6 and tap
27
what is comon treatment long term for abcure pancres
find issue sucha s alhcolism adn fix tough council surical issue ssuchha s malignancy, treat with surgyer
28
treatment of acute pancreatis
ct scanning for progesion antibioti, digaosi of infection erc if gall stone present nutritional support vy enteric manipulation of inlfatory response
29
is ct helpgul in montior acute prnaec
yes afer 4-10 days to see if necoirs is present or tlo look for asciete,s absces, and motion of disease
30
is antiboic requeid for acute pancresi
no, as they can cuase antibioci resistance if given small dose then a second wave of more signic ancres hapesn
31
what to do if gall stones are present along side pancre
removea using ercp
32
what is late compaoit of acure pancreiatis
hemorea,e portal hypertio, pancreatic duct stricutre
33
chronci pancreatis
chronciinfcaotnof the pancre, caus ign irreveralsbel morphaocl changes, leading to chronic pan and impairemt of endocrine and exocine fucntof the pancrawse
34
what is chronic pancreatis raled with
alhcol and being male
35
obstucve cause of chronic panfcrits
tumour, spincter of odi dysfuction, pancreatic divisum duodeunal obstuciot tramau stucre
36
toxin cuase of chornc pancrea
ethanaol, smoking , and drugs
37
is chronic pancre does realsted
yes
38
genetic gnes that cuase choihci pancreis
domina t - codon 29 and 122 recivesive - cftr, spink 1 and codon a
39
other cuase of chronic pancritis
recurent injury to billar, hyperlipidemia, hypercalcemia , enviromenta e.e tropics idiopathic autoimmune
40
what is resoponse for 70% of pancretics chronic canses
alhcol
41
symptons of choci pancreatis
pain - lined to binges janice constipation
42
sings of chic pancreatis
pancratix exocirne insufffice, diabets, jaunice, duodenal obsution, upper gi haemorrhage
43
chronci pancreatits invesigoin
ct sacna ercp - wth pancratic exocine fuciotn faeclar / swerum enzymes pancreolauyste test (enzyme response to stimulus) diagnos enzyme replacement
44
manage ment of chronc pancreatis
concelsing, absentanc eform alchol, mangemet of acute aktakce, angelsi, avoid high fat, high proiten diet, pancrati csuplent , anti oxiant therapy, steatorrhera (reduce fat inkae , pancre suppletion ) treat diabetes
45
when shold choc pancreits surgyer be offerd
suspision of malignacy, intractable pain complioaion, pancratic duct stenois, csyss bilary tarct obsuciotn spleic vien thormoisis portal vien compression dudoeal stanos colonic sticure
46
what intervela procedures are availbe for choicn pancratiss
pd stenos and obstuion - edospcidc spincetoymy, dilation and lithotripsy management of choice pseudoctys csd stening or bypass thoracospic splanchnectomy caelica pleux block - ct guide, eus guice , flurosocpy guidned
47
surgery for choinc pancretis
drainage - duct sphincter pospy pusesow resection dpphr pppd whipples pancracy duodecotmy frey proceud spleee presivn disal pancracy centlla pancracyly

Alimentory System (32 decks)

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