Malignancy risk in choledochal cyst
Posted onQ Risk of cancer in un resected choledochal cyst ( AIIMS 2020 GI)
a. 30 %
b. 20 %
c. 50%
d. 5%
Category: Bile duct
Management of Cholangiocarcinoma
Posted onQ) 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
Posted onQ) Choledochal cyst III, treatment (MCH GI 2019)
A) Partial hepatic resection
B) Choledochojejunostomy
C) Transduodenal excision
D) Endoscopic drainage
Biliary Atresia
Posted onQ1) Most common congenital anomaly associated with biliary atresia?
a) Polysplenia
b) Teratology of falot
c) Malrotation
d) preduodenal portal vein
Risk of Malignancy in Choledochal cyst
Posted onQ) Lowest risk of malignancy is seen in which type of choledochal cyst?
a) I
b) III
c) IV
d) V
Timing of cholecystectomy in biliary pancreatitis
Posted onQ) 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
Posted onQ) 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
Posted onQ 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
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
Posted onQ. All are poor prognostic factors in managing bile duct injury except? ( From AIIMS 2018 nov)
a) Complete ligation
b) Advanced age
c) Internal/External fistula
d) Type III/IV stricture