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Flashcards in Upper GI Surgery Deck (17):
1

What are the different types of oesophageal cancer?

Adenocarcinoma
Squamous cell carcinoma

2

What is adenocarcinoma associated with in oesophageal cancer?

Distal oesophagus
Obesity
Barrett's oesophagus

3

What is squamous cell carcinoma associated with in oesophageal cancer?

Proximal and middle third of oesophagus
Smoking
Alcohol

4

How does oesophageal cancer usually present?

Progressive dysphasia
Weight loss
Odynophagia
Chest pain
Haematemesis

5

What investigations are used to diagnose oesophageal cancer?

Endoscopy
Contrast swallow
CT in staging

6

What are the treatment options for oesophageal cancer?

Stenting
Surgery
Radiotherapy and chemotherapy (palliative)

7

How does gastric cancer usually present?

Dyspepsia
Dysphagia
Weight loss
Vomiting

8

What are the risk factors for gastro oesophageal reflux disease?

Obesity
Smoking
Alcohol excess

9

What are the complications of hiatus hernia repair and fundoplication

Dysphagia
Gas bloating
Excess flatulence
Diarrhoea
Difficulty to belch and vomit

10

What is the criteria for bariatric surgery?

18 to 44 years old
BMI over 35
Type 2 diabetes (less than 5 years since onset)

11

What are the advantages of gastric banding?

Relatively minor surgery
Reversible
Adjustable

12

What are the disadvantages of gastric banding?

Requires an implanted medical device
Risk of prolapse or slippage

13

What are the advantages of gastric bypass?

Quick and dramatic weight loss
Dumping syndrome

14

What are the disadvantages of gastric bypass?

More invasive surgery
Malabsorptive component requires lifelong supplements

15

What are the advantages of a sleeve gastrectomy?

No dumping syndrome
No small bowel manipulation
No foreign body

16

What are the disadvantages of a sleeve gastrectomy?

More invasive surgery
Long staple line risk for bleeding or leak

17

What are the complications of bariatric surgery?

Anastomotic leak
DVT/PE
Infection
Malnutrition
Excess skin
Vitamin and mineral deficiencies