MCh ( GI)MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES
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MCh ( GI)
I BASIC SCIENCES AND PRINCIPLES OF GI SURGERY
1. Anatomy - Gross and histological anatomy of the abdomen .and its
contents including entire GI tract, Liver ( including segmental anatomy),
Biliary tract, Pancreas, spleen, portal and Hepatic venous system.
2. Physiology - Normal function of GI tract and related organs including
endocrine functions of gut and pancreas. Physiological basis of various
tests to study these functions.
3. Pharmacology of drugs used in GI surgical disorders e.g to control acid
secretion in the management of ulcerative colitis and immunosuppresive
4. Fluid -electrolyte and acid base disturbance- general aspects , imbalance
in GI surgical patients Physiological responses to volume and osmolalty
abnormalities, Interpretation of blood gas analysis, maintenance and
5. Nutritional considerations in GI surgical patients.- Nutrient stores and
Body compositions, Nutrient requirements, Mal nutrition, Evaluation of
nutritional status., Nutritional therapy, enteral and parenteral therapy
and complications of these.
6. Wound healing- Principles, Phases, types of healing, influencing factors
on wound healing, wound dehiscence and management.
7. Principles and disorders of hemostasis.
8. Immunology in GI surgery. Especially in relation to organ
9. Elements in Biostatistics.- Mean, Median, Mode, measures of central
tendency, types of distribution, tests of stastistical significance,
confidence intervals, sensitivity, specificity & accuracy of tests.
10.Medicolegal aspects and Consumer protection act
II. C LINICAL SURGERY
1. Oesophagus - Inflammatory and Peptic disorders, Strictures, Motility
disorders, Hiatus hernia, Injuries, malignant tumours.
2. Stomach and duodenum. Peptic ulcer disease, Benign and malignant
tumours, Obstructive disorders. ( Gastric outlet obstruction and
volvulus of stomach), complications specific to gastric surgery.
3. Small Intestine- Fistulae, short bowel syndrome, mesenteric vascular
ischemia, tuberculosis, benign and malignant tumours.
4. Colon, rectum and anus : diagnostic procedures, disorders of motilityconstipation,
diarrhoea and incontinence, ileus, trauma, pseudoobstruction,
mega colon, large bowel obstruction, polyps, lower GI
bleed, carcinoma, infectious disorders, inflammatory disorders,
volvulus, disorders of anorectum (haemorrhoids, fisssure, abscess,
fistulae and prolapse)
5. Liver - Liver biopsy, Benign and malignant tumours, hepatic abscesses
and cysts, portal hypertension,( anatomical considerations, etiology,
prognosis, clinical findings, methods of controlling acute
haemorhhage, shunt and non-shunt procedures, hypersplenism) ,
Principles of liver resection, ascites (patho-physiology and
management), Hepatic venous outflow obstruction, transplantation &
6. Gall bladder & Extra hepatic bilary system- Radiological diagnostic
procedures, etiopathogenesis of gall stones, cholecystitis, Post
cholecystectoomy syndrome, choledocholithiasis, primary sclerosing
cholangitis, biliary fistulae, neoplasms, biliary atresia, choledochal
cysts, trauma & bile peritonitis.
7. Pancreas - Tests for pancreatic exocrine function, Acute and chronic
pancreatitis with complications, pancreatic injuries, pancreatic and
periampullary malignancies including islet cell tumours.
8. Spleen- Indications for splenectomy, hypersplenism, rupture
(traumatic, spontaneous &its management), complications of
splenectomy including OPSI.
9. Abdominal wall hernia- Basic features , types and their management.
10. Peritoneum, omentum and mesentery- Peritonitis, Intra &
retroperitoneal abscess, & omental and mesenteric cysts.
11. GI & Biliary fistulae- Definition, etiology, complications, types,
classification, evaluation, management & results.
III RECENT ADVANCES, EMERGENCY SURGERY & PRACTICAL
1. General principles of GI surgery- Acsess to the abdomen & lower
chest, exploratory laparotomy, intestinal & vascular anastomosis.
2. Operating room techniques- sterilisation of instruments, aseptic
techniques, designs of an operation theatre.
3. GI Surgical tubes- post operative drainage tubes, conditions requiring
drainage, caveates, complications and removal.
4. Surgical infections and management
5. Postoperative complications
6. Emergency management of common life-threatening disorders. -
Duodenal , small and large bowel perforations, Intestinal obstruction,
volvulus, upper and Lower GI bleed, Cholangitis, abdominal trauma.
7. Endoscopy - Upper GI endoscopy, ERCP, enteroscopy,
choledochoscopy, sigmoidoscopy and colonoscopy
8. Laparoscopy and laparoscopic surgical procedures.
9. Operative techniques
· Oesophagus- repair of hiatus hernia, management of achalasia,
total oesophagectomy, gastric and colonic pull - up.
· Stomach and Duodenum - Operations for benign and malignant
gastric ulcer. Operations for complications of chronic duodenal
ulcer, types of vagotomy, types of gastrectomy, replacement
procedures for stomach, remedial procedures for post-gastric
· Types of gastrostomy, ileostomy and colostomy- management,
methods of closure and complications
· Drainage of intraabdominal abscess
· Portal hypertension - Leinorenal shunt, portacaval shunt,
mesocaval shunt, devascularisation and splenectomy
· Liver - Management of hydatid cyst, injuries and hepatic
· Biliary tract - Cholecystectomy - (Laparoscopic and open),
CBD exploration, Bilioenteric bypass procedures, Operations
for carcinoma gall bladder and cholangiocarcinoma
· Pancreas - Pancreatico jejunostomy, Whipples procedure, distal
pancreatectomy, operations for pseudocysts, pancreatic
necrosis and abscess.
· Peritoneo venous shunts, mesoatrial shunts
· Large Intestine - hemicolectomy and pancolectomy, Mucosal
proctectomy and ileoanal anastomosis , Anterior resection and
10. Transplantation - Liver, pancreas and small bowel
11. Use of staplers in GI surgery
12. Use of RFA and lasers in GI surgery.