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Question

All of the following are sequelae of peptic ulcer surgery EXCEPT:

The correct answer is
Increased appetite

Peptic Ulcer Surgery Sequelae Explained

Sequelae refer to conditions that arise as a consequence of a disease or treatment. This analysis focuses on the potential outcomes following surgery for peptic ulcers.

Common Post-Surgery Complications

  • Bilious vomiting: This complication can arise from anatomical changes post-surgery that affect the normal flow or reflux of bile into the stomach remnant.
  • Dumping syndrome: A frequent consequence of gastric surgery, including operations for peptic ulcers. It occurs when food moves too rapidly from the stomach into the small intestine, causing various symptoms.
  • Diarrhoea: Altered gastrointestinal function, including changes in digestion and absorption rates after surgery, can lead to diarrhoea.

Identifying the Exception

Increased appetite is generally not considered a typical sequela of peptic ulcer surgery. Procedures like gastric resection or vagotomy often alter digestive processes and capacity, potentially leading to reduced food intake or early satiety, rather than an increase in appetite.

Based on common medical understanding, increased appetite is the factor listed that does not usually result from peptic ulcer surgery.

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Important Questions from Stomach

  1. A 50 year old male patient presents to the emergency with sudden onset of upper abdominal pain, nausea, vomiting and haematemesis. On examination, PR = $106/min$, BP = $100/70$ mm Hg and pallor is present. CECT abdomen reveals a large exophytic tumor of size $13 \times 8$ cm at the fundus of the stomach. On upper GI endoscopy, the mucosa overlying the tumor is intact. The staining for CD117 in the upper GI endoscopic biopsy is positive. The most probable clinical diagnosis in this patient is
  2. The most common metabolic abnormality associated with gastric outlet obstruction is
  3. Which of the following statements about peptic ulcers is correct?
  4. A 50 year old male patient presents to the emergency with sudden onset of upper abdominal pain, nausea, vomiting and haematemesis. On examination, PR = $106$/min, BP = $100/70$ mm Hg and pallor is present. CECT abdomen reveals a large exophytic tumor of size $13 \times 8$ cm at the fundus of the stomach. On upper GI endoscopy, the mucosa overlying the tumor is intact. The staining for CD117 in the upper GI endoscopic biopsy is positive. The most probable clinical diagnosis in this patient is
  5. A gentleman of 36 years presented with a long history of upper abdominal pain which was periodic and often occurred early morning. For last 3 months, he is having projectile vomiting, which is non bilious, unpleasant in nature with undigested food materials. On examination he appears unwell, dehydrated and seemed to have lost weight. Probably he is suffering from:
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