Cancer... I hardly Know her!
The common risk factors associated with gastric cancer? **Name at least 2
What are Hpylori, smoking, smoked meats
The anatomical parts of the stomach.
What are the cardia, fundus, body, and pylorus?
Which anatomical part of the stomach predominantly secretes hydrochloric acid and intrinsic factor?
What is the fundus?
The two common risk factors for peptic ulcer disease.
What are Hpylori and NSAIDS?
This artery, directly connected to the celiac axis, provides the largest blood supply to the stomach.
What is the left gastric?
In a patient with upper abdominal discomfort concerning for gastric cancer, this is the initial diagnostic test of choice?
What is upper endoscopy?
The type of gastrectomy involves the removal of the stomach and the gastroduodenal anastomosis?
What is distal gastrectomy with Billroth I anastomosis?
Nerves that stimulate parietal cells to produce hydrochloric acid in the stomach.
What are the vagus nerves?
Surgical procedure is used for small perforated gastric ulcers.
What is closure with an omental patch or Graham patch?
The anatomical landmark where the lesser curvature of the stomach sharply angles to the right, separating the body from the antrum?
What is the angularis incisura?
The recommended minimum number of lymph nodes for accurate staging in gastric cancer surgery.
What are 15 lymph nodes?
The surgical procedure is used to mitigate bile reflux into the stomach from the proximal limb after a Billroth II reconstruction?
What is a roux-en-y?
These cells in the stomach lining produce intrinsic factor, essential for vitamin B12 absorption.
What are the parietal cells?
The most common bleeding vessel in posterior ulcers, and how is it managed surgically?
What is the GDA; oversewing (triple stitch) and pyloroplasty.?
This vagus nerve gives off hepatic branches and continue along the lesser curvature as the anterior nerve of Latarjet
What is the left vagus nerve?
In gastric cancer, which factor influences survival more than the location of nodes?
What is the number of nodes?
One of the complications that can occur after gastrectomy, characterized by a hyperinsulinemic response to carbohydrates in the jejunum. (Be specific)
What is LATE dumping symdrome?
This is produced by enterochromaffin-like cells in the stomach and stimulates parietal cells to release acid.
What is histamine?
The recommended treatment for H pylori in peptic ulcer patients.
What is PPI plus clarithromycin plus amoxicillin/metronidazole or PPI plus bismuth plus metronidazole plus tetracycline?
This nerve, often missed during vagotomy, can potentially lead to recurrent ulcers and complications.
What is the criminal nerve of Grassi?
In gastric cancer surgery, what is the nodal basin contributing to a D2 resection, and which nodes are included in D2?
What is the D2 level, which includes nodes along the left gastric artery, common hepatic artery, celiac trunk, splenic hilum, and splenic artery (stations 7-11, N2 level)?
What type of gastrectomy is often preferred for proximal tumors of the cardia or fundus?
What is a total gastrectomy?
This hormone, secreted by the stomach's enteroendocrine cells, plays a crucial role in regulating hunger and satiety.
What is ghrelin?
Size associated with malignant gastric ulcers.
What is gastric ulcers >2cm?
This type of vagotomy, known for its lower complication rates, preserves vagal innervation to the antrum and pylorus and does not require a drainage procedure.
What is the "highly selective vagotomy"?