Liver

MELD Scoring – Liver Transplant

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Q) True about MELD scoring system is all except

a) MELD score less than 15 not included in list of liver transplant recipients 

b) Additional points given for renal failure

c) Predicts mortality for 3 months

d) HCC with cirrhosis exception points are given

 

Sugiura Procedure

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Q)   What is not true regarding Sugiura's procedure for Portal Hypertension ?

a)  It is a transesophageal variceal ligation
b) Splenectomy is done
c) Vagotomy is done 
d) Pyloroplasty is done
Sugiura procedure is the non shunting procedure for EV bleeding, which was first proposed by Sugiura and Futagawa in 1973 []. However, because of its complexity and high postoperative morbidity and mortality, this procedure has not been widely accepted in Western countries 

a
Non shunt operations are done for bleeding esophageal varices in emergency for poor risk patients when sclerotherapy or other conservative methods fail.
Sugiura's is a devascularization procedure described in 1973
It has two parts
Thoracic and abdominal which may be simultaneous or staged.
The Left posterolateral thoracotomy is done.
The longitudinal periesophageal azygous collateral veins and thoracic vagus is preserved. 
The esophagus is transected at level of diaphragm. This completely  devascularizes the esophagus.
The cut mucosa and anterior muscle layer is approximated.
Then the abdominal approach is done and abdominal esophagus, cardia of stomach is devascularized. Short gastric vessels are ligated, selective vagotomy is done, pyloroplasty is done, splenectomy completes the procedure.
Transgastric varix ligation was done previous to this procedure as described by Tanner  but not transesophageal. Hence 'a' is the answer.
The modified Sugiura procedure can be performed through a one-stage transabdominal approach via the midline incision or extension of a left subcostal incision with the exposure of an L shape.
The procedure starts with splenectomy for improvement of the exposure followed by gastric and esophageal devascularization and finally the esophageal transaction using a mechanical stapler through a short gastrotomy.
The Sugiura operation contains five componential procedures and esophagogastric devascularization is the only remaining part in the many different versions of the modified Sugiura operation.
Schakelford pancreas pg 383.

Role of TARE in HCC

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Q)Regarding the role of TARE in HCC False  statement is

a) Diagnostic angiography required
b) Portal Vein Thrombosis is a contraindication

c) Beta particle and tissue penetration is  from 2.5 to 11 mm

d) Preprocedural albumin bind technitium  scintigraphy is  required.

INactive hydatid cyst

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Q According to WHO-IWGE ultrasonographic classification for Hydatid cyst, inactive cysts belong to which group
a) Group I
b)  Group 2
c) Group 3
d) Group 4

More question at www.mcqsurgery.com/hydatid

Answer: C
Reference Bailey and love 27th edition page number 64

WHO Informal Working Group on Echinococcosis (WHO-IWGE) classification
Group 1: Active group – cysts larger than 2 cm and often fertile.
Group 2: Transition group – cysts starting to degenerate and entering a transitional stage because of host resistance or treatment, but may contain viable protoscolices.
Group 3: Inactive group – degenerated, partially or totally calcified cysts; unlikely to contain viable protoscolices.