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Gi Notes 91

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94 views2 pages

Gi Notes 91

gi

Uploaded by

rvar839
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Lectures

General Surgery Anatomy


Esophagus
o 3 constrictions
15 cm. commencement. cricopharyngeal
sphincter
6th cervical vertebra
23cm. Crosses aortic arch and Left main bronchus
40 cm. LES. Pierces diaphragm.
o Ivor Lewis Esophagectomy
Def:
Pros:
Cons:
o Transhiatal esophagectomy
Def:
Pros:
Cons:
o Stomach
Body
Fundus
Antrum
o Blood supply
Right gastroepiploic artery.
Source: Gastroduodenal a.
o Source: Common hepatic a.
Vagotomy
o Types
Truncal
Selective
Highly selective
Preserves nerve of Latarjet
Pancreas
o Distal pancreatomy + Splenectomy
Spleen also removed (splenic artery courses superior
to pancreas)
Liver
o Cantile line
Approximates Liver hemispheres
Middle hepatic vein
o Ligaments
Right triangular ligmant
Left triangular ligament

o Pringle Maneuver
Clamps hepato-duodenal ligament (hepatic a.,
portal v., common bile duct)
Gallbladder (Cholecystectomy)
o Calot triangle
Cystic artery, cystic duct, common hepatic duct
Duodenum bleed
o Ligament of Treitz
Divides upper and lower GI bleed

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