Recent Advances in Surgical Gastro-Enterology & Proctology M.Ch Question Bank : web.tnmgrmu.ac.in

Name of the University : The Tamilnadu Dr. M.G.R. Medical University
Degree : MASTER OF CHIRURGIAE (M.Ch.)
Branch : Branch VI – SURGICAL GASTROENTEROLOGY AND PROCTOLOGY
Subject Code/Name : 1754/RECENT ADVANCES IN SURGICAL GASTRO-ENTEROLOGY & PROCTOLOGY
Paper : III
Document Type : Question Bank
Website : web.tnmgrmu.ac.in

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Recent Advances in Surgical Gastro-Enterology :

August 2008 :
Sub. Code: 1754
M.Ch. DEGREE EXAMINATION

Related : TNMGRMU Surgical Gastroenterology Related to Hepato Biliary & Pancreatic Diseases M.Ch Question Bank : www.pdfquestion.in/4583.html

(Higher Specialities)
(Revised Regulations)
Branch VI – SURGICAL GASTROENTEROLOGY AND PROCTOLOGY
Paper IV – RECENT ADVANCES IN SURGICAL GASTRO-ENTEROLOGY & PROCTOLOGY
Q.P. Code: 181754
Time: Three hours
Maximum: 100 Marks
ANSWER ALL QUESTIONS :
Draw suitable diagrams wherever necessary. :
I. Essays: (2 x 20 = 40)
1. Discuss the current indications for surgery in inflammatory bowel disease.
2. Discuss the role of endoscopic ultrasound in the assessment of gastrointestinal cancers.
II. Write short notes on: (10 X 6 = 60)
1. Role of botulinum toxin in gastrointestinal surgery.
2. Matrix metalloproteinases and their potential clinical role in G1 disorders.
3. Classification and management principles of pancreatic trauma.
4. Role of intra-operative ultrasound.
5. Neoadjuvant treatment in rectal cancer.
6. Laparoscopic D2 dissection for gastric cancer.
7. Role of drains in abdominal surgery.
8. Performance status.
9. Palliative surgery in obstructive jaundice.
10. Preoperative colonic preparation.

August 2009 :
I. Essays: 2 x 20 = 40 Marks
1. Describe the current status of small bowel transplantation.
2. Discuss the current status of management of stones in extra hepatic bile ducts.
II. Write short notes on: 10 X 6 = 60 Marks
1. Immunology of allograft rejection of liver.
2. Glutamine.
3. Activated protein C (Drotecogin alfa).
4. Intraoperative ultrasound in GI surgery.
5. Gastric pacing.
6. Capsule endoscopy.
7. Laser-doppler flowmetry.
8. Molecular biology of GIST.
9. Clinical outcome measures.
10. Performance status.

February 2010 :
I. Essays: 2 x 20 = 40 Marks
1. Describe the principles of donor hepatectomy for living related partial liver transplantation.
2. Evaluate the indications and various techniques in bariatric surgery and list the potential complications.
II. Write short notes on: 10 X 6 = 60 Marks
1. Sentinel node in GI cancer.
2. Immunonutrition.
3. Genetic basis of chronic pancreatitis.
4. Endoscopic interventions in chronic pancreatitis.
5. Postoperative bile leak.
6. Intersphincteric resection.
7. NOTES.
8. Colonic stents.
9. Fast tract surgery in GI surgery.
10. Ischemic preconditioning of liver.

August 2011 :
I. Elaborate on :
1. Describe the current status of NOTES (Natural Orifice Trans Endoscopic Surgery). Describe its advantages and disadvantages and complications.
2. Describe the pathology, clinical presentation and management of Adult Hirsprung disease.
II. Write notes on :
1. Short Bowel Syndrome.
2. Wandering Spleen.
3. G.I. Lymphoma.
4. Caustic Pharyngeal Strictures.
5. Roles of PET scan in gastro enterology.
6. Split liver transplantation.
7. Surgical options for Morbid obesity.
8. Enteral nutrition.
9. Hilar cholangio carcinoma.
10. Rhobotic surgery.

AUGUST 2012 :
I. Elaborate on :
1. Give an account of the present status of Pancreatic Transplantation.
2. Recent advances in Thoracoscopy assisted Oesophageal surgery and discuss the limitations and advantages.
II. Write notes on :
1. Narrow band imaging Endoscopy.
2. New generation of energy sources in G.I.surgery.
3. Role of Immuno histochemistry in micrometastases of lymphnodes in G.I.malignancy.
4. Controversy in case selection for liver Transplant in Hepatocellular carcinoma.
5. PET scan in G.I Surgery.
6. Transjugular Liver biopsy-when & why?
7. What is new in luminal stents?
8. Non-operative management of Secondaries Liver involving both lobes.
9. Thalidomide in G.I.Bleed.
10. Endoscopic management of Gastric antral vascular ectasia .

August 2013 :
I. Elaborate on :
1. Pros and cons of Laparoscopic vs Robotic surgery in cancer rectum.
2. Post laparoscopic cholecystectomy histology in a 40 year old lady is reported as adenoacarcinoma of the gall bladder – Discuss the management options.

II. Write notes on :
1. Fecal Immunochemical Test – Current scenario.
2. CT Enterography vs MR Enterography in Small Bowel Neoplasms – Discuss the pros and cons.
3. Energy devices in hepatic resection.
4. Enteryx – Indications and Technique.
5. Isolated hepatic perfusion for hepatic cancer – Indications and technique.
6. Minimal access pancreatic necrosectomy – Current evidence.
7. Use of Spyglass in Pancreatic Cancer.
8. Outline the early complications of liver transplantation and its management.
9. High-definition white light endoscopy in Barrett’s Esophagus.
10. Discuss the role of Magnetic Esophageal Sphincter in the management of Gastroesophageal reflux disease.

August 2014 :
I. Elaborate on :
1. Discuss the benefits and Limitations of various Energy devices in Surgery.
2. Discuss the management of an incidentally detected 3 cm cystic lesion in the neck of the pancreas in a 45 year old female.

II. Write notes on :
1. Moderately severe Acute Pancreatitis.
2. Biological Therapy in Colorectal cancer.
3. Intersphincteric resection.
4. Habr-Gama approach in Colorectal Cancer.
5. Management of Radiation proctitis.
6. Long term complications of liver transplantation.
7. Management of parastomal hernia.
8. Domino Liver transplantation.
9. Current Status of Pancreas transplantation .
10. Short bowel syndrome.