46-year-old patient with gastric outlet obstruction secondary to ulcer disease and severe inflammation around the pylorus and first and second portions of the duodenum Select the appropriate surgical procedure

Which of the following statements are true?

A 32-year-old woman undergoes a cholecystectomy for acute cholecystitis and is discharged home on the sixth postoperative day. She returns to the clinic 8 mo after the operation for a routine visit and is noted by the surgeon to be jaundiced. Laboratory values on readmission show total bilirubin 5.6mg/dL; direct bilirubin 4.8 mg/dL; alkaline phosphatase 250 IU (normal 21-91 IU); SGOT 52 KU(normal 10-40 KU); SGPT 51 KU(normal 10-40 KU). An ultrasonogram shows dilated intrahepatic ducts. The trans hepatic ccholangiogram documents a biliary stricture. Appropriate management is

In acute hematemesis, the diagnosis is best established by:

The following statements about gastrinomas are correct except that they are:

Carcinoma of the stomach is often associated with the following except

The most frequent site of gastric cancer is the

The most important prognostic sign in carcinoma of the stomach is:

Among the following statements about benign gastric ulcers, the incorrect one is that they:

The following statements about hypertrophic pyloric stenosis are true except that it :

In a male patient of 45 year complaining of dyspepsia for first time, the investigation of choice is:

As regards Colloid carcinoma of stomach all are correct except:

High risk patients who will continue bleeding or re-bleed in cases of bleeding peptic ulcer include

A 50-year-old woman was admitted with a history of weight loss and anemia. An upper gastrointestinal endoscopy revealed atrophic gastric mucosa, apart from iron deficiency type, which other type of anemia is associated with tine lesion shown?

Which of the following measures are effective in preventing stress gastritis bleeding in critically ill patients?

Metabolic complications of subtotal gastrectomy with Billroth I or Billroth I l reconstruction include the following except:

Which of the following is/are true regarding vagotomy:

The precancerous possibility of gastric ulcer makes it different from duodenal ones in that:

Helicobacter pylori:

Main line of treatment of gastric erosions is:

The most common site of peptic Ulcer is:

Acute perforation of duodenal ulcer may present by the following except:

Congenital atresia of duodenum USUaIIy involves:

The surgical treatment of CHPS is:

The most diagnostic investigation of CHPS is:

All of the following are presentations of CHPS except:

36-year-old patient with a type III (pyloric) ulcer that is refractory to medical treatment Select the appropriate surgical procedure

42-year-old man with no history of use of nonsteroidalantiinflammatory drugs (NSAIDs) presents with recurrent gastritis. Infection with Helicobacter pylori is suspected. Which of the following statements is true?

Omeprazole has been added to the H2 antagonists as a therapeutic approach to the management of acute gastric and duodenal ulcers. It acts by

A 56-year-old man presents in the surgical outpatient clinic complaining of increasing pain in the mid-epigastrium, with occasional radiation to the back. He also mentions that he lost nearly 5 Kg in weight over the past 3 months. The consultant suspects pancreatic carcinoma. Which of the following tumor markers would aid in confirming this diagnosis?

72-year-old patient with an intractable type I ulcer along the incisura with a significant amount of scarring along the entire length of the lesser curvature Select the appropriate surgical procedure

Which of the following are not true with regard to sequelae/complications after gastric operations?

Which of the following statements regarding treatment of peptic ulceration are true?

You are asked to examine a 42-year-old man in the surgical outpatient clinic who gives a history of pain in the upper central abdomen that occurs 23 hours after meals. He also tells you that he often wakes up during the night with a similar pain. Based on this history, you feel that the most likely cause of the pain is:

Correct statements regarding carcinoembryonic antigen (CEA)and colorectal tumors include which of the following?

For a symptomatic partial duodenal obstruction secondary to an annular pancreas, the operative treatment of choice is