a) It is a 360 degree fundoplication
b) Gas bloat syndrome is a common complication
c) Nissen's fundoplication can be done by both thoracic and abdominal approach
d) Usually three sutures are taken to hold the wrap
Esophagus
Caustic injuries to esophagus
Q) Which of the following is not true about reconstruction in caustic injuries to esophagus
a) Caustic injuries to esophagus have 1000 times more risk of developing malignancy
b) Right colon replacement is definately better than left colon
c) The only indication for elective surgery is refractory strictures and possibility of malignancy
d) Most of the surgeons prefer bypass over resection of esophagus
Conduits of Esophagus
Q) What is true regarding gastric conduits to be used as esophagus replacement?
a) The right gastric and gastro epiploic arteries can be safely divided to bring stomach to the neck
b) For malignant diseases stomach is the most reliable conduit
c) Stomach has the least incidence of developing reflux esophagitis
d) For benign esophageal strictures stomach is the conduit of choice
Nutcracker esophagus
Q) Which of the following is the least common symptom of nutcracker esophagus?
a) Pain in chest
b) Dysphagia
c) Odynophagia
d) Regurgitation
( Sabiston 21st edition MCQs)
Esophageal hiatus hernia
Q) What is type III esophageal hernia?
a) Paraesophageal hiatus hernia
b) Sliding hiatus hernia
c) Both sliding and paraesophageal hernia
d) Large part of stomach in the mediastinum with pylorus near the esophageal hiatus
Answer c
Hiatal hernias are protrusion of stomach through a defect in the esophageal hiatus into the mediastinum.
They are of four types of hiatus hernia
- Sliding - GE junction migrates to the mediastinum and rests superior to the diaphragm.
- Paraesophgaeal - Part of stomach migrates through the esophageal hiatus into the mediastinum with GE junction remaining at its normal position.
- There are IV types of hiatal hernia