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15 Cards in this Set
- Front
- Back
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Blood supply to stomach when used to replace esophagus?
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right gastroepiploic |
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most common type of stomach and esophageal CA?
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adenoCA |
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DES tx?
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calcium channel blockers |
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When should you operate on paraesophagealhernia?
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always (risk of strangulation and incarceration) |
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when do you operate on leiomyoma? Approach? Benefit o EGD biopsy |
excise via enucleation (left thoracotomy if in lower goose, right thoracotomy if middle goose) No benefit-do not EGD biopsy |
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strongest esophageal layer? Strongest layer small bowel? |
submucosa |
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NOrmal LES tone pressure?
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15-25mm Hg |
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What causes achalasia?
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decr ganglion cells in Auerbach's plexus |
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Approachused to repair zencker's diverticulum?
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left cervical incision |
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Follow up parameters for Barretts goose?
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egd w/ 4 quad bx q 3 mos if dysplasia present, q6 months if no dysplasia |
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is manometry required before anti-reflux procedure?
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yes |
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Indications for esophagectomy with Barret's esophagus?
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2. CIS 3. High grade dysplasia (25% will have CA on pathology) |
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Tx for Barretts gooseor GERD in BMI>40?
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Gastric bypass w/ RNY
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do ppis cause regression of barretts goose?
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no |
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Best staging for esophageal CA?
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endoscopic US |
