D 2 gastrectomy

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Q) D2 gastrectomy false (AIIMS 2020 GI)  a. No benefit in OS

Maltoma Stomach

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Q) False about maltoma of stomach a Rituximab based therapy is useful in  resistant cases b) Most respond to anti H pylori c) T (11, 18) respond to h pylori eradication d)

Gastric Lymphadenopathy

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Q ) which is one of the  criteria for diagnosis of gastric lymphadenopathy a. mesenteric lymphoadenopathy b. hepatic involvement c. general lymph adenopathy d . blood count within normal limt Ans d Dawson criteria (1) absence of peripheral lymphadenopathy at the time of presentation; (2) lack of enlarged mediastinal lymph nodes; (3) normal total and differential white blood cell count (4) predominance of bowel lesion at the time of laparotomy with only lymph nodes obviously affected in the immediate vicinity; and (5) no lymphomatous involvement of liver and spleen  

Afferent loop syndrome

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Q) Not true about afferent loop syndrome a) It can  occur after either partial or total gastrectomy with Billroth ii reconstruction or roux en y gastrojejunostomy b) Acute obstruction is more common than chronic c)  Weight loss and anemia are common.  d) Bacterial overgrowth in  afferent limb causes  malabsorption of fat and other nutrients, such as vitamin B12 or iron. 

Role Of PET Scan in CA Stomach

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Q) What is not true about the role of PET Scan in staging of Ca Stomach? a) 50% of Carcinoma stomach are PET avid b) Response to Neoadjuvant therapy is  usually seen on PET in 2 weeks c) PET response correlates with survival  d) Sensitivity of PET is same for all kinds of histopath tumors

Highly selective vagotomy

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Q) False about highly selective vagotomy a) Highly selective vagotomy divides the vagus nerves supplying the acid-producing portion of the stomach b) Incidence of postoperative complications is lower. c) The criminal nerve of Grassi should be severed d) Crow’s feet nerves are severed till below the GE junction

Acute Gastric dilatation

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Q) Not true about acute gastric dilatation (AGD)  a) AGD is encountered most often as a postoperative complication in abdominal surgery  b)Also seen in other  disorders, such as anorexia and bulimia nervosa, psychogenic polyphagia, trauma, diabetes mellitus  c) When intragastric pressure from gastric distension exceeds 20 cm H2O gastric necrosis starts d)  clinical features are pain abdomen and effortless vomiting  

Gastric lymphoma

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Q ) Treatment of Primary Gastric Lymphoma is  a) Surgery b) chemotherapy c) Radiotherapy d) Both chemo and radiotherapy

Stomach Physiology

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Q) Regarding the microscopic anatomy of stomach, false statement is ? a) Parietal cells are abundant in the body of stomach and secrete H+ b) Chief cells produce pepsinogen I and II c) G cells are abundant in gastric antrum d) ECL cells are abundant in antrum  Ans visible for premium members

Right gastro epiploic vein

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Q) Right gastroepiploic vein drains into A. Splenic vein B. Left gastric vein C. Portal vein D. Superior mesenteric vein ANswer is free