5 Written questions
5 Matching questions
- Gastric Restrictive Lap. Roux-EN-Y Gastric Preop care
- Why perform a Pylorplasty
- Postprandial hypoglycemia
- Billroth I
- a BMI 35-40; Comorbid conditions/obesity related interfering with ADL; tired and failed non-surgical weight reduction; no alcohol or drug abuse; no underlying psychiatric issues concerning obesity
- b the only effective treatment for pyloric stenosis. It may also be used to treat certain patients with peptic ulcers or other types of gastric disease that cause a blockage of the stomach opening.
- c 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
- d bolus of concentrated carbohydrate; hyperglycemia : excessive release of insulin
- e Excision of the pylorus with end-to-end anastomosis of the upper portion of the stomach and the duodenum.
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 due to an excessive reflux of duodenal contents into the stomach it will damage gastric mucus
- fluids, gas and intestinal contents accumulates proximal to the intestinal obstruction. distension; distal bowel may collapse. Edema, congestion and rupture of bowel- retention of fluid in intestinal and peritoneum; reduction in circulation blood volume, shock; electrolyte fluids retain in bowel- high obstruction- metabolic alkolosis, small bowel- dehydration, large bowel- most GI fluids already absorbed
- Medically managed weight loss program; Nutrition counseling; Psychological screening; Stress test; EKG; Blood studies/ X-rays; Surgeon screening
- 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 True/False questions
Complications of gastric surgery (3) → Dumping Syndrome, Postprandial hypoglycemia, and Bile reflux gastritis
Why is a Gastroduodenostomy (Billroth I) performed → is a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum.
Mechanical Causes of Intestinal Obstruction partial or complete → Occlusion of the lumen of the intestinal tract; small intestine adhesions, neoplasm; large intestine carcinoma ( most common cause); Volvulus; Diverticular diseases; and Intussusception
Post- 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
Paralytic ileus → 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.