Q) True statement regarding complications of duodenal diverticulum is
a) Perforation is the commonest complication
b) Obstruction is caused by extra luminal duodenal diverticulum
c) Bleeding is the most common complication of duodenal diverticulum.
d) Diverticulitis is common and easily diagnosed.
Complications of duodenal diverticulum are rare with a reported incidence of 5-10% in those with duodenal diverticulum. Operative intervention is required in about 1% cases
Perforation is the rarest but the most severe complication of duodenum diverticulum. The most common cause of perforated duodenal diverticulum is diverticulitis. They perforate in the retroperitoneum, adding to diagnostic uncertainty. Ct Scans are most diagnostic to help in this diagnosis.
Obstruction is commonly caused by intraluminal duodenal diverticulum. It can also become obstructed by gall stones or undigested foreign particles.
Bleeding is the commonest complication of duodenal diverticulum and present as haematemesis or melena. Diagnosis and treatment is by endoscopy.
Duodenal diverticulitis is uncommonly diagnosed because of its site and diagnostic confusion with cholecystitis, pancreatitis and other upper GI causes.
Q) What is true about bowel preparation before colon surgery in an elective case?
a) Bowel preparation should be done in every case
b) Bowel preparation should be done in all emergency situations like perforation and obstruction to attempt primary repair.
c) Mechanical purging one day before surgery and at leat 3 days of administration of non absorbable oral antibiotic should be given in all patients before elective colon resection
d) Bowel preparation at most centers is based on surgeons's discretion but reports have not shown any proven benefits.
Answer for premium members
a) Duodenal Diverticulum
b) Annular Pancreas
c) SMA syndrome
d) Malrotation of duodenum
Q) Median arcuate syndrome is due to compression of
a) Coeliac artery
b) Superior mesenteric artery
c) Phrenic artery
d) Inferior mesenteric artery
Free Answer for MCH GI Surgery Questions
Median arcuate syndrome is also known as coeliac artery compression syndrome. Median arcuate
ligament connects the diaphragm with the spine. In some individuals this median arcuate compresses the coeliac artery and produes abdominal pain. Read More ...
Q) Which of the following is not a cause of acalculus cholecystitis?
a) Kinking of the neck of gall bladder
b) Sphincter spasm
c) Thrombosis of cystic artery
d) Over eating
Ans Read More ...
Q) What is true about the role of EUS in Carcinoma head of pancreas.
a) It has a sensitivity of 50-60% in detecting lesions less than 3 cm in size
b) It has a high negative predictive value
c) Chronic pancreatitis can be easily differentiated from Carcinoma head of pancreas by EUS
d) Small caliber needles have low accuracy than high caliber needles in FNAC
Answer for Premium members
Q) In gastric cancer, lymph node station 12 corresponds to
a) Common hepatic
d) Superior Mesenteric
Read More ...
Q) True about altemeier procedure?
a) It is proctosigmoidectomy with posterior levataroplasty
b) Done in prone jack-knife position
c) Recurrence rate can be as high as 30%
d) Altemeier was the 1st person to do it
Answer- Premium members