5 Written Questions
5 Matching Questions
- Causes of Paralytic ileus
- Continent Ileostomy,
- Criteria for Gastric surgery (6)
- Why do a Vagotomy
- 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 it is an essential component of surgical management of peptic (duodenal and gastric) ulcer disease (PUD).
- c ulcers, hemorrhage, trauma or sepsis, malignancies, obstruction, and obesity
- 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 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 Multiple Choice Questions
- Colostomy, Ileostomy, Continent Ileostomy, and Ileoanal reservoir surgery
- is a surgical procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach, following the major curve of the stomach. The open edges are then attached together with surgical staples sutures, or both) to leave the stomach shaped more like a tube, or a sleeve, with a banana shape. The procedure permanently reduces the size of the stomach. The procedure is performed laparoscopic and is not reversible.
- is similar to an ileostomy, but the colon—not the ileum—is diverted to a stoma. As with an ileostomy, stool collects in an ostomy pouch.
- it is a gastrointestinal reconstruction technique. It may be performed in cases of stomach cancer, a malfunctioning pyloric valve, gastric obstruction, and peptic ulcers.
- 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.
5 True/False Questions
Pre- operative care for Bowel diversion surgery → Stoma: volume/consistency/ amt of drainage; pouch and skin care; Ileostomy: fluid and electrolyte drainage, usually high output; teaching
What is a Vagotomy → the surgical procedure that involves the resection the vagus nerve
Clinical manifestation of complete or partial bowel obstruction → 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.
Panniculectomy → removal of the abdominal apron( the excess fat and skin that may hang down over the genital area and thighs)
Dumping syndrome (rapid gastric emptying, ) → 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