'It is more blessed to give than to receive.
Summary
of
GIT
R. hepatic duct L hepatic duct
anery
H. hepetJc
L, hepetic arterl
Cysicsnery
Common hegaticdlct
Cysticdt ct
Heoatic artery
f,orrunoo
biledua Tail0f
pancI€as
Ga{t-
bladder
lnu",, Main
pancro.atic duct
Amputta
Itl I r."
@ningon
papilta
Aooessory panqsedc duct
By: II.B
20 12
https://t.me/MinorScientificGroupC
WhiteKnightLove
, Freely you have received; freely give.
Index
GIT:
WhiteKnightLove
,'It is more blessed to give than to receive.
WhiteKnightLove
, Freely you have received; freely give.
Congenitol Atresio of the oesophogus
ETIOLOGY :
Embryologically both oesophagus & trachea develop as one tube, then a
transverse septum will appear which witl divide them into two tubes.
@ Congenital atresia of the oesophagus is usually associated with
tracheo-oesophageal fistula.
TYPES :
* Type I (85%) : Atresia with a fistula into the lower pouch.
* Type ll Q%): Atresia with a fistula into the upper pouch.
* Type lIl (l%): Atresia with a fistula into each pouch.
* Type lY (12%): Atresia without fistula.
* Type V ( Rare ) : Fistula without atresia.
* Type VI ( Rare : Stenosis.
)
e/O : The condition starts at birth & it is a surgical emergency.
A Regurgitation of the first & every fluid taken.
A Continuous pouring of saliva ( Pathognomonic ).
A Attacks of cough, shocking & cyanosis after feeding in types ll & lll.
A Sputum may be bile stained ( I & lll ).
A Inhalation pneumonia.
A Abdominal distension.
INVESTIGATIONS :
1- Passage of a nasogastric tube ( No.10 ) which will be arrested at 10 cm
_ from the nostril ( diagnostic ).
2- Gastrograffin swallow will show :
a. The fistula & dye in the trachea.
b. Fundic air bubble is present in types I & IfI.
3- Fibreoptic pediatric oesophagoscopy.
EOMPLICATIONS & CAUSE OF DEATH :
1. Pneumonia ( inevitable ) : Aspiration pneumonia or acid pneumonia.
2. Associated anomalies ( VACTERL syndrome ).
WhiteKnightLove
Summary
of
GIT
R. hepatic duct L hepatic duct
anery
H. hepetJc
L, hepetic arterl
Cysicsnery
Common hegaticdlct
Cysticdt ct
Heoatic artery
f,orrunoo
biledua Tail0f
pancI€as
Ga{t-
bladder
lnu",, Main
pancro.atic duct
Amputta
Itl I r."
@ningon
papilta
Aooessory panqsedc duct
By: II.B
20 12
https://t.me/MinorScientificGroupC
WhiteKnightLove
, Freely you have received; freely give.
Index
GIT:
WhiteKnightLove
,'It is more blessed to give than to receive.
WhiteKnightLove
, Freely you have received; freely give.
Congenitol Atresio of the oesophogus
ETIOLOGY :
Embryologically both oesophagus & trachea develop as one tube, then a
transverse septum will appear which witl divide them into two tubes.
@ Congenital atresia of the oesophagus is usually associated with
tracheo-oesophageal fistula.
TYPES :
* Type I (85%) : Atresia with a fistula into the lower pouch.
* Type ll Q%): Atresia with a fistula into the upper pouch.
* Type lIl (l%): Atresia with a fistula into each pouch.
* Type lY (12%): Atresia without fistula.
* Type V ( Rare ) : Fistula without atresia.
* Type VI ( Rare : Stenosis.
)
e/O : The condition starts at birth & it is a surgical emergency.
A Regurgitation of the first & every fluid taken.
A Continuous pouring of saliva ( Pathognomonic ).
A Attacks of cough, shocking & cyanosis after feeding in types ll & lll.
A Sputum may be bile stained ( I & lll ).
A Inhalation pneumonia.
A Abdominal distension.
INVESTIGATIONS :
1- Passage of a nasogastric tube ( No.10 ) which will be arrested at 10 cm
_ from the nostril ( diagnostic ).
2- Gastrograffin swallow will show :
a. The fistula & dye in the trachea.
b. Fundic air bubble is present in types I & IfI.
3- Fibreoptic pediatric oesophagoscopy.
EOMPLICATIONS & CAUSE OF DEATH :
1. Pneumonia ( inevitable ) : Aspiration pneumonia or acid pneumonia.
2. Associated anomalies ( VACTERL syndrome ).
WhiteKnightLove
