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Roux en Y Gastric bypass

Roux en Y Gastric bypass

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Q 35) To prevent bile reflux gastritis in RYGB, false is

a) Jejunum divided at 45cm from the DJ

b) Roux loop length is 40 cm and above

c) Enteroenterostomy done at 45cm from the GJ


Answer q 35

Achalasia cardia with perforation

Achalasia cardia with perforation

Q) What is the management of achalasia cardia with perforation ?

a) Suture ligation of the perforation

b) Suture ligation with myotomy on opposite side with fundoplication

c) Suturing with fundoplication

d) esophagectomy

Answer 

GI bleed

GI bleed

Q) Which of the following statement is incorrect for  GI bleeding?

a) Clear nasogastric aspirate rules out Upper gi bleed

b) RBC scan detects bleed upto 0.1-0.5 ml/min

c) Angio 0.5-1 ml/min

d) UGI bleed is responsible for 15% of haematochezia

Answer

GIST Stomach

GIST Stomach

Q ) Antral GIST 1cm incidentally found on UGIE. True regarding its management

a) Surgical resection resection of GIST (More questions on GIST here) 

b) Endoscopic resection

c) Resection required if EUS suggests irregular border with cystic spaces

d) Endoscopic surveillance, if size >2cm then resect

Answer ( You need to be a premium member to see this) 

GIST are usually found in the stomach (40% to 60%), small intestine (30%), and colon (15%). Clinically they appear  in patients older than 50 years.

They generally have an equal male-to-female ratio or a slight male predominance.

They are rarely associated with familial syndromes such as GISTparaganglioma syndrome (Carney triad), neurofibromatosis 1, and von Hippel-Lindau disease, but most develop de novo. 

Haemangioma Liver

Haemangioma Liver

Q) False statement about haemangioma liver

a) They are the most common lesions of the liver

b) Giant haemangiomas should be resected because of malignant potential

c) Symptomaic haemangioma should be resected

d) Most of the haemangioma liver are asymptomatic

Answer

Incidence of haemangioma liver is increasing because of increased use of CT and MRI. 

Post Lap Cholecystectomy Ca Gall Bladder

Post Lap Cholecystectomy Ca Gall Bladder

Q) Post Lap cholecystectomy, biopsy comes as Ca gall bladder with invasion of peri muscular connective tissue. Most appropriate for this patient is
A. IVB &  V resection nodal clearance
B. IV B &  V plus nodal clearance with port site excision
C. Wedge excision of liver with Lymphadenectomy
D. Wedge excision, Lymphadenectomy and Port excision

Answer 

Management of Carcinoma GB after lap cholecystectomy depends on the depth of invasion of disease

a) T1a - only serosa- Read on for premium members

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