Surgery

Question 1

Surgical intervention for oesophageal cancer

Answer 1

Oesophagectomy. Oesophagus gets joined to the stomach

Question 2

Surgery for GORD and to prevent progression into Barrett’s oesophagus and eventual cancer

Answer 2

Nissen fundoplication. Top of the stomach is wrapped around itself to create an artificial cardiac sphincter

Question 3

Nissen fundoplication can be used for what other than GORD

Answer 3

Paraoesophageal hiatus hernia

Question 4

What gastrectomy is done when tumour is present on top of stomach

Answer 4

Complete whereas only part of the stomach is removed if the tumour is in the lower part

Question 5

Removal of gallbladder is called

Answer 5

Cholecystectomy

Question 6

Cystic artery is located in

Answer 6

Triangle of Calot or cystohepatic triangle

Question 7

Surgery performed where a tail of the organ is often left unresected

Answer 7

Pancreatectomy

Question 8

What is the patient prescribed after pancreatectomy

Answer 8

Creon, commercial mixtures of amylase, lipase, and protease.

Question 9

Common procedure in pancreatitis

Answer 9

Whipple’s procedure where the head of pancreas, duodenum, gall bladder and bile duct are removed

Question 10

Complications of GI tract surgery

Answer 10

Wound infection - Superficial vs deep
Anastomotic leak
Paralytic ileus - TPN if > 5 days 
Bleeding/haematoma formation
Short gut syndrome - Requires TPN
Adhesions
Scars