CHAPTER 26: Stomach

Learning Objectives: At the end of this chapter, the student will be able to:

I. Review the anatomy and physiology of the stomach

a. Anatomy
i. Functional anatomy
ii. Blood supply, Innervation & Lymphatic drainage
iii. Histology
b. Physiology
i. Acid secretion
ii. Pepsinogen secretion
iii. Intrinsic factor
iv. Gastric mucosal barrier
v. Gastric hormones
vi. Gastric motility and emptying

II. Determine the tests used to assess gastric function and structural
abnormalities
a. Esophagogastroduodenoscopy
b. Barium UGIS
c. CTscan, MRI
d. Endoscopic Ultrasound
e. Gastric Secretory Analysis
f. Gastric Emptying Studies/Scintigraphy
g. Tests For H. Pylori
h. Antiduodenal Motility Testing
i. Electrogastrography

III. Identify the incidence, etiology, manifestations, diagnosis and treatment of

several gastric diseases
a. Peptic ulcer disease and complications
b. Intractable ulcers and Zollinger Ellison Syndrome
c. Stress gastritis
d. Atrophic gastritis
e. Benign gastric tumors

IV. Identify the incidence, risk factors, pathogenesis, manifestations, diagnosis

and treatment of malignant gastric diseases
a. Adenocarcinoma
b. Gastric Lymphoma
c. GIST
 d. Gastric Neuroendocrine Tumors

V. Identify surgical procedures commonly used in the treatment of gastric

disease and their complications
a. Ulcer surgeries
i. Highly Selective Vagotomy
ii. Truncal Vagotomy + Pyloroplasty
iii. Truncal Vagotomy + Antrectomy
iv. Distal Gastrectomy
v. omental patching for perforated peptic ulcer
vi. gastrotomy/pyloromyotomy for bleeding peptic ulcer
b. Gastric resection and anatomosis
i. Bilroth I
ii. Bilroth II
iii. Roux en-Y

TABLE OF SPECIFICATION
Topic/Course Title: 26 – Stomach
No. of Hours Taught: 6
Type of Exam: Long Exam, Bimonthly Exam
Faculty-In -Charge:  Dr Dy

LEVELS / SKILLS
Remembering Understanding Thinking
(Comprehension/ (Analysis/Synthesis/ TOTAL
(Knowledge)
Application) Evaluation)
SUBTOPICS
Item Item Item
No. No. No.
Placement Placement Placement No. of
of % of % of % %
or Question or Question or Question Items
Items Items Items
No. No. No.
Anatomy & Physiology
Tests
Benign Diseases
Malignant Diseases
Surgical procedures
TOTAL