FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
SURGICAL GASTROENTEROLOGY
PAPER I
GIS/J/17/46/I
Time 3 hours
Max. Marks 100
Important instructions:
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. Enumerate the indications of total gastrectomy.
Method(s) of reconstruction in total gastrectomy.
3+7
2. Components of 2-field and 3-field esophagectomy.
Their present role in the management of carcinoma
esophagus.

3. Anatomy of the caudate lobe of the liver as relevant to the excision
of a caudate lobe tumour.
10
4. Diagnosis and management of a patient with post-esophagectomy
thoracic duct surgery.
4+6
5. Anatomy of the colon in relation to its use as a replacement organ
after esophagectomy with emphasis on the vascular supply.
10
6. How will you manage a needle stick injury to a healthcare
personnel during a right hepatectomy in a patient with hepatitis B
virus infection?
10
7. Evaluation and management of a patient with megaesophagus.
5+5
8. Evaluation and management of suspected necrosis of the
esophagus following corrosive ingestion in a patient presenting in
the emergency 12 hours later.
5+5
9. Surgical methods for 'morbid obesity' management, and their pros
and cons.
6+4
10. Evaluation and management of a patient with 8 cm size
gastrointestinal stromal tumour.
4+6