General Gastrointestinal diseases

video link in second post in a child who was subjected to the procedure of capsule endoscopy. He was under investigation for occult GI Bleed. The capsule camera got stuck in ileum due to stricture. Note that how the capsule camera was still working and taking pictures

[color=#3300ff]see video HQ link in second post [/color]

[size=20px]A 12 year old girl presents with anemia and vague abdominal pain. A CT confirms a gastric mass. On exploration, a 8 cm mass of the fundus is encountered. The most appropriate intervention is: A Total gastrectomy B Radiation therapy C Wedge resection D Biopsy followed by chemotherapy E Intraoperative EGD with biopsy[/size]

[size=20px]An 8 year old boy with epidermolysis bullosa (EB) develops dysphagia, odynophagia and has lost 5 pounds. A contrast study demonstrates a tight mid-eosphageal stricture. The most appropriate next step is: A Esophageal replacement B Endoscopic application of mitomycin C C Balloon dilation over a guidewire D Bougienage dilation over a guidewire E Gastrostomy tube placement[/size]

[size=20px]You are consulted on a 10-day old 900-gm premature infant who has suddenly developed intraperitoneal free air. There is no obvious pneumatosis intestinalis on recent imaging studies. Factors associated with spontaneous intestinal perforation include all of the following except A early postnatal indomethacin B early postnatal steroids C maternal drug use D Staphylococcus epidermidis E Candida[/size]

A six-year old being evaluated for mild abdominal pain and left upper quadrant tenderness receives an abdominal ultrasound demonstrating a cystic mass intrinsic to the wall of the stomach. A magnetic resonance image is obtained. [size=20px]The most likely diagnosis of this gastric mass is A pancreatic pseudocyst B splenic pseudocyst C ganglioneuroma D peliosis E enteric duplication cyst[/size]

[center]Ileostomy closure (Takedown) in a 1 month old girl. By Dr Tamer Ashraf Wafa, Dr Amr El Saeid see in next post[/center]

goharysphenomenonpdfpublished.pdf

[size=20px]A nine-month old baby presents with nonbilious vomiting and dehydration. An upper gastrointestinal contrast study is obtained and demonstrates an organoaxial gastric volvulus with the majority of the stomach located in the mediastinum. At the time of the operation the viable stomach is untwisted and reduced into the abdominal cavity. To prevent recurrent gastric volvulus, the hiatal hernia should be closured, and A nothing further. B anterior gastropexy. C partial fundoplication. D full fundoplication. E omentectomy.[/size]

[size=20px]A ten-day old 1100-g ex 28-week gestational age infant girl previously advancing well on enteral feeds becomes acutely distended. Abdominal radiographs reveal moderate pneumatosis intestinalis. Two hours later, a radiograph reveals pneumoperitoneum. In deciding which intervention would be most appropriate, which of the following can be expected from peritoneal drainage? A ten percent likelihood of avoiding laparotomy B less effective physiologic stabilization than laparotomy C greater risk of intestinal stricture than laparotomy D faster return to enteral feeding than laparotomy E equivalent survival compared to laparotomy[/size]

[size=20px]You are asked to see a 10-year old oncology patient with abdominal pain and fever. He is tender in his right lower quadrant and an abdominal ultrasound suggests that the right colon bowel wall thickness measures five mm. In addition to neutropenia, which of the following medical treatments is a risk factor for neutropenic enterocolitis? A antibiotics B infliximab C bevacizumab D granulocyte colony stimulating factor (GM-CSF)[/size] First one with correct answer with justification win.