Q) Pancreatic adenocarcinoma genetic risk factors least responsible is ? ( AIIMS GI 2020)
a) Peutz jeghers syndrome
b) Hereditary pancreatitis
c) FAMMM syndrome
d) Cowden
AIIMS GI 2020
ALPSS
Q) ALPSS all are true except?
✅ Answer: a) ALPPS should be considered in every patient in whom PVE or the classic two-stage approach is not feasible or has failed.
🔍 Explanation:
The limits for safe hepatic resections are usually considered from 20% to 40%, depending on the quality of liver parenchyma (fibrosis, steatosis, chemotherapy-related liver injury).
The lower limit for FLRV is set at 20% in patients with normal livers, 30% to 35% in patients with chemotherapy-related liver injury, and 40% in patients with chronic liver disease.
Cut-off values for proceeding to stage 2, usually after 7 to 14 days, are sFLR greater than 30% (BWR > 0.5%) or 40% (BWR > 0.8%) depending on parenchymal quality. (Ref BG page 1665)
Currently, CRLM is the most promising indication, especially for bilobar involvement.
In hilar cholangiocarcinoma, it is a relative contraindication as the mortality and morbidity are high.
🔍 Explanation:
The limits for safe hepatic resections are usually considered from 20% to 40%, depending on the quality of liver parenchyma (fibrosis, steatosis, chemotherapy-related liver injury).
The lower limit for FLRV is set at 20% in patients with normal livers, 30% to 35% in patients with chemotherapy-related liver injury, and 40% in patients with chronic liver disease.
Cut-off values for proceeding to stage 2, usually after 7 to 14 days, are sFLR greater than 30% (BWR > 0.5%) or 40% (BWR > 0.8%) depending on parenchymal quality. (Ref BG page 1665)
Currently, CRLM is the most promising indication, especially for bilobar involvement.
In hilar cholangiocarcinoma, it is a relative contraindication as the mortality and morbidity are high.
Ileostomy complications
Q) .Factors associated with ileostomy complications except:
A) Stoma Height > 2 cm
B)Female
C)Obesity
D)loop ileostomy
( AIIMS GI 2020) ( Jejunum MQCS 41-50) ( jejunum 1-5 , Free Questions)
Bile duct blood supppy
Q) Blood supply of Supra duodenal bile duct, what is false? ( CBD Questions) ( AIIMS 2020)
a) 2% Non Axial
b) Downward 38% from RHA
c) Gb venous drainage directly to PV
d) Main artery supply to retro pancreatic CBD is retroduodenal artery
HVPG And clinical symptoms
Q) All are true regarding clinical symptoms of HVPG except :
a) At 10 development of varices
b) At 12 variceal bleed
c) At 14 refractory bleed
d) At 30 SBP
Stricturoplasty in Crohn Disease
Q) Long segment stricturoplasty in Crohn disease is which technique ( AIIMS NOv 2020)
a) Michelassi
b) Heineke- Mikulicz
c) Finney
d) Jobulay
Liver regeneration
Q) Regeneration of liver false is ( # More Liver Questions)
a) From 2 wk to 3 month
b) Occur from epithelial cell fenestration.
Ileostomy vs IPAA in PSC
Q) All are true regarding ileostomy and IPAAA in PSC with UC except? ( # AIIMS GI, # colon)
1) PSC UC end ileostomy have risk of peristomal varices
2) IPAA for UC nd PSC-UC have same long term results
3) IPAA for PSC-UC have high chronic pouchitis
Post gastrectomy syndrome
Q) False about post gastrectomy syndrome?
a) 30%incidence
b) Octreotide agonist prevent it's occurrence
c) Megaloblastic anemia due to partial gastrectomy
d) Calcium deficiency in billroth 2
Crohn Disease Pathology
Q) Which of the following is not characteristic of Crohn Disease : * (From AIIMS 2020 November GI)
a) Granular mucosa
b) Transmural involvement
c) Skip lesions
d) Giant cell granuloma