Q ) Treatment of Primary Gastric Lymphoma is
a) Surgery
b) chemotherapy
c) Radiotherapy
d) Both chemo and radiotherapy
Stomach Physiology
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
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Delayed complications of loop gastrojejunostomy
Q) Most common delayed complication of loop gastrojejunostomy
a) anemia
b)) gastric reflux
c) stricture
d) malignancy
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Q) Right gastroepiploic vein drains into ANswer is free
Q) Malabsorbtive procedure in bariatric Surgery a) Biliopancreatic division b) Roux en Y Gastric bypass c) Sleeve gastrectomy d) LAp band Q) Dumping all are true except a) Conversion of BI to BII b) More common in B1 as compared to BII c) Most common after gastric pull up d Q) Gastric Lymphomas false is a) The optimal treatment for lymphomas unresponsive to initial H. pylori antibiotic treatment remains unclear and includes the chemotherapy, radiotherapy, surgical resection, etc b) Almost all MALT-lymphoma may regress with conventional H. pylori treatment. c) Need for surgery in lymphoma is mainly for its complication d) Risk of perforation is over estimated in the literature Answer Q) Antral GIST 1cm incidentally found on UGIE. True regarding its management Ans c GIST more than 2 cm should undergo resection. Management of GIST less than 2 cm is dependent on weather high risk features are present on EUS. The high risk features are 1. Irrgeular margins 2. Heterogenous architecture 3. Ulcers Management of low risk GIST less than 2 cm is surveillance every 6 months Q . Wrong about post gastrectomy syndromes (AIIMS MCQ 2018 GI) Right gastro epiploic vein
A. Splenic vein
B. Left gastric vein
C. Portal vein
D. Superior mesenteric vein
Malabsorbtive procedure in bariatric Surgery
Dumping Syndrome causes
Gastric Lymphoma
GIST stomach
a) Surgical resection
b) Endoscopic resection
c) Resection required if EUS suggests irregular border with cystic spaces
d) Endoscopic surveillance, if size >2cm then resectPost gastrectomy complications
A. Early dumping syndrome occurs after 1 hour
B. Early dumping syndrome has less cardiac and more gastrointestinal symptoms
C. Anastomotic ulcer is more after billroth II
D. Post gastrectomy syndromes are common in billroth II than roux en Y anastomosis
