6. PATHOLOGY
• FIBROSIS
• PYLORIC STENOSIS
• ANT WALL AND POST WALL ULCER---KISSING
ULCER
• ANT ULCER—PERFORATE
• POST ULCER BLEEDS
• MALIGNANCY UNCOMMON
7. G.U
• LESS COMMON
• NSAID
• SMOCKING
• M: F EQUAL
• LOW SOCIO ECONOMIC CLASSES
8. PATHOLOGY
• LARGER
• FIBROSIS HOURGLASS STOMACH
• EROSIN TO PANCREAS /MAJOR
VESSELS/COLON
• COMMON IN LESSER CURVE
• ASSOCIATED WITH MALIGNANCY
• BIOPSY
30. POST VAGOTOMY DIARRHEA
• MOST DEVASTATING
• 5%
• AETILOGY—UNKNOWN
• RAPID GASTRIC EMPTYING
• SEVERE EXPLOSIVE
• PASSING BOILED WATER
• DIFFICULT TO TREAT
• ANTI DIARRHEAL
• REVISIONAL SURGERY
31. MALIGNANCY
• 4 TIMES
• INCREASED BILE REFLUX
• INTESTINAL METAPLASIA
• LAG PHASE 10 YEARS
• HSV HIGH RISK
32. NUTRITIONAL
• COMMON GASTRECTOMY
• WT LOSS
• ANAEMIA---VIT B12 DEF//IRON DEF
• IRON DEFE----DECREASED IRON ABSORPTION
• LOSS OF BLOOD
• VIT 12 LATE PRESENTATION ---LARGE STORE