← Gastric surgery Test
5 Written Questions
5 Matching Questions
- Possible reasons for bowel diversion surgery.
- Nursing interventions Goals colonoscopy
- Dumping syndrome (rapid gastric emptying, )
- Continent Ileostomy,
- Paralytic ileus
- a 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.
- 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
- c Cancer, trauma, inflammatory bowel disease (IBD), bowel obstruction, and diverticulitis
- d is the occurrence of intestinal blockage in the absence of an actual physical obstruction. This type of blockage is caused by a malfunction in the nerves and muscles in the intestine that impairs digestive movement.
- e to decompress intestine by removal of gas and fluid, ON/G or intestinal tube (NG tube most common), Correction amd maitainance of fluid/electrolyte balance OIV/TPN, Removal or relief of obstruction (surgical intervention)
5 Multiple Choice Questions
- begins concurrently or immediately succeeding a meal(15-30 minutes after eating. Symptoms include nausea, vomiting, bloating, cramping, diarrhea, dizziness and fatigue.
- is a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum.
- bolus of concentrated carbohydrate; hyperglycemia : excessive release of insulin
- 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.
- include electrolyte imbalances, gastroenteritis (inflammation or infection of the stomach or intestines), appendicitis, pancreatitis (inflammation of the pancreas), surgical complications, and obstruction of the mesenteric artery, which supplies blood to the abdomen. Certain drugs and medications, such as opioids and sedatives, can cause ileus by slowing peristalsis, the contractions that propel food through the digestive tract.
5 True/False Questions
Complications of gastric surgery (3) → ulcers, hemorrhage, trauma or sepsis, malignancies, obstruction, and obesity
Pre- operative care for Bowel diversion surgery → Bowel prep
4 types of Bowel Diversion Surgeries → Cancer, trauma, inflammatory bowel disease (IBD), bowel obstruction, and diverticulitis
Gastrectomy → surgical formation of an artificial opening between the stomach and the small intestine, usually at the jejunum. The operation is performed with a gastrectomy to route food from the remainder of the stomach into the small intestine or alone to treat a perforating ulcer of the duodenum.
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.