← Gastric surgery Test
5 Written Questions
5 Matching Questions
- Continent Ileostomy,
- Clinical manifestation of complete or partial bowel obstruction
- Possible reasons for bowel diversion surgery.
- Pre- operative care for Bowel diversion surgery
- a Cancer, trauma, inflammatory bowel disease (IBD), bowel obstruction, and diverticulitis
- b is defined as a complete twisting of a loop of intestine around its mesenteric attachment site.
- c abdominal pain ( waves, general discomfort constant (paralytic ileus) ,Severe, rapid in onset strangulation), silent bowel sounds, N/V, Distention, inability to pass fluids, Ausculation, Temperture,bloody stools, Labs (WBC, H&H, and BUN levels are elevated; LYTES levels are decreased), Abdominal x-rays, barium enema, colonoscopy/sigmoidoscopy.
- d Bowel prep
- e is an option for people who are not good candidates for ileoanal reservoir surgery because of damage to the rectum or anus but do not want to wear an ostomy pouch. As with ileoanal reservoir surgery, the large intestine is removed and a colon-like pouch, called a Kock pouch, is made from the end of the ileum. The surgeon connects the Kock pouch to a stoma. A Kock pouch must be drained each day by inserting a tube through the stoma. An ostomy pouch is not needed and the stoma is covered by a patch when it is not in use.
5 Multiple Choice Questions
- Gastrectomy, Vagotomy, Pylorplasty, Gastroduodenostomy, Gastrojejunostomy, and Gastroenterostomy
- Stoma: volume/consistency/ amt of drainage; pouch and skin care; Ileostomy: fluid and electrolyte drainage, usually high output; teaching
- is a partial or full surgical removal of the stomach
- Larger bed; N/G; Anastomotic leaks; Nutrition dense diet for the first 6 weeks; Dumping Syndrome; Vitamin/mineral/nutrient replacement; Long term improvement in obesity related conditions.
- is decreased ability of the intestine to push food through, and often causes dilation of various parts of the bowel. It can be a primary condition (idiopathic or inherited) or caused by another disease (secondary). The clinical and radiological findings are often similar to true intestinal obstruction.
5 True/False Questions
Postprandial hypoglycemia → bolus of concentrated carbohydrate; hyperglycemia : excessive release of insulin
Why perform a Pylorplasty → a surgical procedure to widen the opening in the lower part of the stomach (pylorus) so that the stomach contents can empty into the small intestine (duodenum)
Common symptoms of Early Dumping Syndrome → happens 1 to 3 hours after eating. Symptoms include weakness, sweating, and dizziness. Many people have both types
Gastroenterostomy → is a partial or full surgical removal of the stomach
Ileostomy, → diverts the ileum to a stoma. Semisolid waste flows out of the stoma and collects in an ostomy pouch, which must be emptied several times a day. An ileostomy bypasses the colon, rectum, and anus and has the fewest complications.