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5 Written questions

5 Matching questions

  1. colonoscopy
  2. Dumping syndrome (rapid gastric emptying, )
  3. Anastomosis
  4. Bariatric Surgery Nursing Diagnosis
  5. Gastrojejunostomy(GJ) (Billroth II)
  1. a is the endoscopic examination of the large bowel and the distal part of the small bowel with a CCD camera or a fiber optic camera on a flexible tube passed through the anus
  2. b occurs when the undigested contents of your stomach are transported or "dumped" into your small intestine too rapidly. Reservoir reduced, large hypotonic bolus draws fluid into bowel, Lumen distends (stimulates intestinal motility
  3. c is a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum.
  4. d is a surgical connection between two structures. It usually means a connection that is created between tubular structures, such as blood vessels or loops of intestine.
  5. e chance for malnutrition

5 Multiple choice questions

  1. begins concurrently or immediately succeeding a meal(15-30 minutes after eating. Symptoms include nausea, vomiting, bloating, cramping, diarrhea, dizziness and fatigue.
  2. the stomach is divided, and a small pouch, which limits calories that can be taken in on a daily basis to less than 1,000, is formed as simultaneously the majority of the stomach is sealed off. A portion of the small intestine is then divided and sewn to the newly created small stomach pouch. This process limits the body's ability to absorb calories. This procedure is performed as a laparoscopic surgery.However it can be performed as a standard open surgery.
  3. Occlusion of the lumen of the intestinal tract; small intestine adhesions, neoplasm; large intestine carcinoma ( most common cause); Volvulus; Diverticular diseases; and Intussusception
  4. is an option when the large intestine is removed but the anus remains intact and disease-free. The surgeon creates a colonlike pouch, called an ileoanal reservoir, from the last several inches of the ileum. The ileoanal reservoir is also called a pelvic pouch or J-pouch. Stool collects in the ileoanal reservoir and then exits the body through the anus during a bowel movement. People who have undergone ileoanal reservoir surgery initially have about six to 10 bowel movements a day. Two or more surgeries are usually required, including a temporary ileostomy, and an adjustment period lasting several months is needed for the newly formed ileoanal reservoir to stretch and adjust to its new function. After the adjustment period, bowel movements decrease to as few as 4 to 6 a day.
  5. Using laparoscopic tools, the surgeon places an adjustable silicone band around the upper part of the stomach. Squeezed by the silicone band, the stomach becomes a pouch with about an inch-wide outlet. After banding, the stomach can only hold about an ounce of food. A plastic tube runs from the silicone band to a device just under the skin. Saline (sterile salt water) can be injected or removed through the skin, flowing into or out of the silicone band. Injecting saline fills the band and makes it tighter. In this way, the band can be tightened or loosened as needed. This can reduce side effects and improve weight loss.

5 True/False questions

  1. Panniculectomyis a partial or full surgical removal of the stomach

          

  2. Post- operative care for Bowel diversion surgeryStoma: volume/consistency/ amt of drainage; pouch and skin care; Ileostomy: fluid and electrolyte drainage, usually high output; teaching

          

  3. Gastroenterostomyis a partial or full surgical removal of the stomach

          

  4. Pre- operative care for Bowel diversion surgeryStoma: volume/consistency/ amt of drainage; pouch and skin care; Ileostomy: fluid and electrolyte drainage, usually high output; teaching

          

  5. Possible reasons for bowel diversion surgery.Stoma: volume/consistency/ amt of drainage; pouch and skin care; Ileostomy: fluid and electrolyte drainage, usually high output; teaching

          

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