4 terms

Upper GI inflammation: Endoscopic therapy; Vagotomy; Pyloroplasty

STUDY
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Terms in this set (...)

Endoscopic
decrease risk of recurrent bleed & need for surgery
includes
injection with epinephrine
coagulation therapy
hemostatic clips
argon plasma coagulation
combo therapy - injection followed by thermal coagulation
Vagotomy
resection of vagus nerve

chronic duodenal ulcers & related complications
manipulate any branch of vagus nerve
often done in conjunction with other surgeries; pyloroplasty

POSTOP - NGT suction; NPO; gradual diet

Potential S/E= infection, hemorrhage, vitb12 deficiency; dumping syndrome; diarrhea... recurrence of ulcers in other areas;

cut to wherever ulcer is
Pyloroplasty
restructuring of pyloris; done with vagotomy

COMPLICATIONS* - hemorrhage, surgical wound infection, incisional hernia, recurrence of gastric ulcer, chronic diarrhea, malnutrition