Management of Cholangiocarcinoma

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Q) False about management of cholangiocarcinoma? a) Resection can be done in  absence of histological diagnosis b) External  radiotherapy better than brachytherapy c) Lobar hepatectomy can be done d) None    

Type III Choledochal cyst

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Q) Choledochal cyst III, treatment (MCH GI 2019)  A) Partial hepatic resection B) Choledochojejunostomy C) Transduodenal excision D) Endoscopic drainage  

Biliary Atresia

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Q1) Most common  congenital anomaly associated with biliary atresia? a) Polysplenia b) Teratology of falot c) Malrotation d) preduodenal portal vein

Timing of cholecystectomy in biliary pancreatitis

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Q) What is true regarding timing of cholecystectomy in biliary pancreatitis a) Cholecystectomy should be done before discharge in severe pancreatitis to prevent recurrent attacks b) Cholecystectomy should be done in same admission as pancreatitis when severe disease is excluded c) Early cholecystectomy has been shown to have more complications than interval choelcystectomy d) Early cholecystectomy increases technical complications

Management of biliary strictures

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Q) Which of the following is false about management of benign biliary stricture? a) After HJ,success rate of 80-90% for benign biliary stricture is achieved b) Recurrent stricture in 5 years is 30% c) MOst important factor for recurrent stricture is the initial level of injury d) Liver failure after stricture repair is around 20% 

Bile duct injuries in cholecystectomy

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Q True about Bile duct injuries in cholecystectomy a) Only 15% are recognized at the time of surgery b)Routine  Operative cholangiography  definitely reduces the incidence of bile duct injury c) In incomplete obstruction of bile duct,  jaundice occurs early d) Surgical outcome depends on timing of surgery Answer for premium members After cholecystectomy complications can occur in 15%. Identification and management of bile duct injuries is very important. This question and subsequent discussion has been routinely asked in many exams

Bile duct injury

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Q. All are poor prognostic factors in managing bile duct injury except a) Complete ligation b) Advanced age c) Internal/External fistula d) Type III/IV stricture Ans wer Q15               All poor factors listed