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

Dumping Syndrome causes

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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 Answer

Gastric Lymphoma

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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

GIST stomach

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Q) Antral GIST 1cm incidentally found on UGIE. True regarding its management a) Surgical resection  b) Endoscopic resection c) Resection required if EUS suggests irregular border with cystic spaces d) Endoscopic surveillance, if size >2cm then resect Answer  (Pemium members who are logged in can see explanation below)     

Post gastrectomy complications

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Q . Wrong about post gastrectomy syndromes (AIIMS MCQ 2018 GI)  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 Answer for premium members