03.08 GI/GS
03.08 GI/GS [PDF link]: Gastro-oesophageal disease (GORD/GERD), Gastritis – H. pylori, NSAIDs, Peptic ulcer disease (PUD), Oesophageal conditions – Mallory-Weiss tear, Boerhaave syndrome, Hiatus hernia, Plummer-Vinson syndrome, Endoscopic retrograde cholangiopancreatography (ERCP), Transjugular intrahepatic portosystemic shunt (TIPSS)
External links
Gastritis: CKS/NICE summary on Ix & Mx
Percutaneous cholecystostomy [a very simplified understanding!!]
Image-guided (ultrasound / fluoroscopy / CT) insertion of drain into the gallbladder
PTC specifically stands for the trans-hepatic route
There is also the transperitoneal route
Often used when cholecystectomy is unsuitable for a pt (eg frail pts who are not surgical candidates)
Cholecystogram (aka tubogram) – injection of contrast into drain and XRs taken to visualise position of drain and check for remaining calculi
“Capping the drain” - universal white bung on the drain to test patency of internal biliary drainage system
Note that metal stents cannot be inserted into the biliary tree during acute episodes of cholecystitis due to risk of infection
