Gastrointestinal Surgery — Flashcards

Flashcard 11: Mackler's triad consists of _____ pain + Vomiting + Cervical subcutaneous emphysema

Answer: Thoracic

Flashcard 12: One sign of _____ appendicitis is the obturator sign, which is pain on passive flexion and internal rotation of the right hip

Answer: pelvic

Flashcard 13: The preferred surgical treatment for SMA syndrome is _____ (Strong's procedure involves mobilization of the ligament of Treitz).

Answer: duodenojejunostomy

Extra: SMA (Superior Mesenteric Artery) syndrome (Wilkie's syndrome) involves compression of the 3rd part of the duodenum between the SMA and the Aorta. Surgical options: 1. **Duodenojejunostomy**: Preferred treatment with the highest success rate (approx. 90%). 2. **Strong's procedure**: Involves mobilization of the duodenum by dividing the ligament of Treitz. It is less invasive but has a higher failure rate (approx. 25%).

Flashcard 14: Volvulus can lead to _____ and infarction of the affected bowel region

Answer: obstruction

Flashcard 15: _____ ileus occurs secondary to cholecystitis with fistula formation between the gallbladder and small bowel

Answer: Gallstone

Flashcard 16: The _____ classification system - based on the anatomic location of adenocarcinomas that are in close proximity to the GE junction

Answer: Siewert

Flashcard 17: _____ presents with diffuse periumbilical pain that eventually localizes to McBurney's point

Answer: Appendicitis

Flashcard 18: _____ triad is seen in Boerhaave's syndrome

Answer: Mackler's

Flashcard 19: _____ triad is seen in Mesenteric cyst

Answer: Tillaux's

Flashcard 20: Ulcers in the _____ are classified as Types IV according to modified Johnson classification for a gastric ulcer.

Answer: higher part of the lesser curve