Obesity
This “hunger hormone” is produced in the enteroendocrine cells of the GI tract (especially the stomach) and levels reduce significantly after sleeve gastrectomy
What is ghrelin
The first step in management of patient with upper GI bleeding
What are the ABCs (or resuscitative measures)
This risk factor for gastric cancer can be found in hotdogs and other processed meats
What are nitrates
Medication which reduces the amount of acid secreted by your stomach but has no effect on the H-K ATPase
What is Cimetedine/H2 blocker
Type of paraesophageal hernia that contains an additional organ
What is Type IV paraesophageal hernia
This bariatric operation may worsen GERD symptoms postoperatively
What is sleeve gastrectomy
Risk of re-bleeding when an adherent clot is visualized on EGD for UGI bleeding
What carries a risk of 15-25%
In gastric cancer, this T stage invades the muscularis propria
What is T2
This type of peptic ulcer is, by definition, pre-pyloric
What is a Type III peptic ulcer
Name for the diagnosis when the stomach rotates around its longitudinal axis
What is organoaxial gastric volvulus
This vessel provides the blood supply to the gastric pouch in the RYGB
What is the left gastric artery
Therapy of choice when patient re-bleeds after first EGD for bleeding
What is repeat endoscopy
Autosomal dominant mutation associated with hereditary gastric cancer
What is CDH1
On rare occasions, you can search this triangle for the culprit of acid hypersecretion
What is the gastrinoma triangle (boarders: confluence of cystic duct and CBD, junct of 2nd and 3rdportion of duo, medially junction of neck and body of pancreas)
A disease entity with symptoms of severe heartburn, pain that is inadequately treated with PPI, but responds to ursodeoxycholic acid or cholestyramine
What is Bile reflux gastritis
The potential space between the small bowel limbs and the transverse mesocolon after any type of gastrojejunostomy
What is a Peterson’s defect
Procedure that is performed when bleeding cannot be controlled endoscopically or by IR embolization
What is laparotomy, anterior gastrotomy, oversew bleeding area, biopsy, close gastrotomy
Dissection which includes removal of nodes along left gastric, common hepatic, celiac and splenic arteries (stations 7-11).
What is a D2 dissection (as opposed to D1 which is the removal of perigastric nodes along greater and lesser curve - recommended dissection per NCCN)
Failure to divide this nerve during an acid-reducing surgery can lead to recurrent ulcers.
What is the criminal nerve of grassi (first branch of posterior trunk of vagus n.)
This post-gastrectomy complication is due to rapid carbohydrate load causing an insulin surge and resulting in rebound hypoglycemia
What is late dumping syndrome
Three potential sources of hemorrhage when dividing tissues along the lesser curve during RYGB/ creation of gastric pouch
What are the left gastric artery, high short gastric vessels, splenic vessels
A procedure to consider in a patient with refractory/recurrent bleeding from gastric varices
What is TIPS
The appropriate operation for Siewart II tumors
Total gastrectomy with esophagojejunostomy
Some data show less postoperative dysphagia for this operation antireflux operation compared with a full 360degree wrap
Toupet (posterior 270 deg) fundoplication
Length of roux limb to reduce risk of bile reflux
What is at least 50cm