5 Written questions
5 Matching questions
- What is a Vagotomy
- Mechanical Causes of Intestinal Obstruction partial or complete
- Pathophysiology of complete or partial bowel obstruction
- Types of Gastric surgeries (6)
- 4 types of Bowel Diversion Surgeries
- a 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
- b Colostomy, Ileostomy, Continent Ileostomy, and Ileoanal reservoir surgery
- c the surgical procedure that involves the resection the vagus nerve
- d Gastrectomy, Vagotomy, Pylorplasty, Gastroduodenostomy, Gastrojejunostomy, and Gastroenterostomy
- e Occlusion of the lumen of the intestinal tract; small intestine adhesions, neoplasm; large intestine carcinoma ( most common cause); Volvulus; Diverticular diseases; and Intussusception
5 Multiple choice questions
- 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.
- removal of the abdominal apron( the excess fat and skin that may hang down over the genital area and thighs)
- 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.
- 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.
- 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 True/False questions
Post- operative care for Bowel diversion surgery → Bowel prep
Complications of gastric surgery (3) → ulcers, hemorrhage, trauma or sepsis, malignancies, obstruction, and obesity
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.
Nursing interventions Goals colonoscopy → 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)
Gastrojejunostomy(GJ) (Billroth II) → 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.