Page 1 of 3: surgery--stomach

niyati2002 · Credits: 5492 My Scrapbook

q.1m/c operation performed in c/o peptic ulcer-

1.vagotomy & antrectomy
2.vagotomy wth pyloroplasty
3.high selective vagotomy
4.total gastrectomy

ans given is 1...any reff???

q2.m/c site of carcinoma stomach-

1.lessure curvature
2.greater curvatiure
3.fundus
4.antrum

????

drsmita_s · Credits: 18609 My Scrapbook

regarding ques 2 )
mc site of ca stomach is LESSER CURVATURE.
THIS IS BECAUSE chronic gastric ulcers are associated with gastric malignancy and their most common site is lesser curvature.

has this question been asked a few years back?

if u check the diagram on page no.1051 of bailey, i feel that a new question, if framed ,will have gastroesophageal junction as one of the option and that will be the correct answer too.

whiteguardian · Credits: 9523 My Scrapbook

Ans 1: The most common form of surgical denervation for treatment of peptic ulcer disease is truncal vagotomy in which both right and left vagal trunks are cut proximal to hepatic and celiac branches. "Selective" vagotomy involves cutting the vagi distal to hepatic and celiac branches. The celiac branch is distributed to the pancreas, entire small bowel, and large bowel up to the mid-transverse colon. A third type of vagotomy involves cutting all of the small gastric branches except the terminal distal branches of the anterior and posterior nerves; in this "highly selective" vagotomy the fundus and body of the stomach are denervated but the motor supply to the antrum is intact.

whiteguardian · Credits: 9523 My Scrapbook

Surgery is indicated if the obstruction does not resolve after one week of conservative treatment. Mostly a truncal vagotomy and antrectomy is done although truncal vagotomy with a drainage procedure is sometimes performed.

http://72.14.203.104/search?q=cache:s7lbeq8aVv8J:academic.sun.ac.za/surgery/lectures3/abdominal/ms_word_docs/eng/ch3_02eng.htm+most+common+surgery+in+peptic+ulcer+vagotomy+and+antrectomy&hl=en&gl=in&ct=clnk&cd=33

whiteguardian · Credits: 9523 My Scrapbook

The utilization of surgical treatment of peptic ulcer disease has changed significantly over the past 15 years. Emergency procedures now account for up to 50 percent of all surgery for peptic ulcer disease.[42] Indications for surgery include obstruction, perforation, hemorrhage and intractable or recurrent symptoms. The most common procedures are vagotomy with a drainage procedure, vagotomy with antrectomy, proximal gastric vagotomy, selective vagotomy and subtotal gastrectomy. The choice of procedure depends on the patient's underlying health and the indication for surgery. The surgeon must balance the operative mortality, recurrence rate and incidence of undesirable side effects (such as "dumping" and diarrhea) following surgery.

jayanta · Credits: 34873 My Scrapbook My Reading List 45 Books

WELL REPLIED.

entropy · Credits: 110 My Scrapbook

sorry... but i am even more confused....vag* pyloroplasty there is the ans???

jayanta · Credits: 34873 My Scrapbook My Reading List 45 Books

hypomaniac07777 · Credits: 2021 My Scrapbook

lesser curvature....bailey and robbins...

jayanta · Credits: 34873 My Scrapbook My Reading List 45 Books

U MEAN TO SAY BAILEY & LOVE +ROBBINS

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