D 2 gastrectomy
Posted onQ) D2 gastrectomy false (AIIMS 2020 GI) a. No benefit in OS
Category: stomach
Maltoma Stomach
Posted onQ) 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
Posted onQ ) 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
Posted onQ) 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
Posted onQ) 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
Posted onQ) 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
Posted onQ) 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
Posted onQ ) Treatment of Primary Gastric Lymphoma is a) Surgery b) chemotherapy c) Radiotherapy d) Both chemo and radiotherapy