Gall stones in Neuroendocrine tumors

Q. Gallstones are formed most commonly in 

A. Gastrinoma
B. VIPoma
C. Somatostatinoma
D. Glucagonoma


Post cholecystectomy injury

Q) Post cholecystectomy injury  which is true

a) Bile duct leak occurs in 1%

b) After open cholecystectomy bile duct injury occurs in 0.5 to 1 %

c) Most common cause of bile duct injury is cystic stump blow out and duct of luschka injury

d) Type E injury is clipping of CBD by mistake

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Q.    Regarding percutaneous cholecystostomy A/E

a.       Technical success in 90 – 98 % of cases

b.      Indicated in Grade II cholecystitis with significant pericholecystic inflammation & GOO

c.       Indicated in Gr III cholecystitis with significant comorbidity

d.      In Grade III cholecystitis with biliary peritonitis, PCC results in significant improvement


Cholelithiasis with Choledocholithiasis

Q.  Patients with gallstones and choledocholithiasis in a centre with endoscopy, interventional radiology and tertiary care centre

a.       Single setting lap chole + CBDE better than endoscopy followed by lap chole

b.      In choledocholithiasis endoscopic clearance alone without lap chole can be done without any long term complication

c.       For impacted ampullary stones with CBD dilatation that requires biliary enteric drainage is performed with a preferred open approach