Q) Which of the following statement about Roux en Y gastric bypass is not true?
a) After weight loss it resolves symptoms of venous ulcers due to stasis
b) Symptoms of pseudo tumor cerebri are resolved
c) Heartburn is alleviated immediately
d) Protein malnutrition is a very common problem
d Protein malnutrition is common in Biliopancreatic division and duodenal switch.
Essential components of successful Roux en Y gastric bypass are
- Small Gastric pouch (15-20ml) made from cardia of stomach
- Keep the length of roux limb at around 75 cm
- Division of gastric pouch from distal end of stomach
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Q) Not a true statement about desmoid tumors?
a) Common in young pregnant females
b) Radiotherapy is the only treatment
c) Histologically they comprise of plasma cells
d) Recurrence is a frequent problem
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Q) What is true regarding complications of billroth 2 surgery?
a) It has less complications than billroth 1 surgery
b) Recurrent ulceration is more common in the afferent limb as compared to efferent limb.
c) Afferent loop obstruction is more common after billroth 2 surgery
d) Billroth I operation is preferred in scarred duodenum
Answer c -
In billroth 2 surgery, afferent limb obstruction is more common
In surgery for benign gastric ulcers, billroth I reconstruction is the preferred choice. Billroth II surgery has problems of
- Retained antrum syndrome
- Afferent loop obstruction
- Duodenal stump leak (1-3%)
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Q) Which of the following does not form part of gastrinoma triangle
b) Junction of body and neck of pancreas
c) Cystic duct and CBD junction
d) Junction of 2nd and 3rd part of duodenum
For explanation and similar question
Q18) All of the following colon cancers have high rate of relapse except
b) Venous invasion
c) Mucin production
d) High microsatellite instability
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