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Chapter 3: Upper GI (ii) - Coggle Diagram
Chapter 3: Upper GI (ii)
Oeso ca
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can invade recurrent layngeal N (hoarse), symp chain (horner's), SVC (Pemberton's), trachea (SOB)
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Tx
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oesophagectomy
Ivor lewis (2 stage, abdo + thorax, for distal tumours)
McKeown (3 stage, abdo, thorax, neck, for tumours above carina
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Palliation: chemorad, stents
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Gastric ca
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Subtypes
adenocarc (incl OGJ)
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subtypes: tubular, papillary, mucinous, signet ring, linnitis plastica (poor prognosis)
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look out for malignant pleural effusion, ascites, hepatomegaly + jaundice
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Tx
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Palliation: radiation, gastrojejunostomy