Gastric Surgery 1. Peptic ulcers are most frequently found in which location? 2.
ID: 141143 • Letter: G
Question
Gastric Surgery 1. Peptic ulcers are most frequently found in which location? 2. List two reasons for performing a gastrostomy. 3. Once the stomach is incised, what should be ready to use immediately and why? 4. If a partial or total gastrectomy is completed, what reconstruction procedure is commonly completed for the repair? 5. what is the major difference between a Billroth I and a Billroth procedure for a partial gastretormy? Final Review Match the procedure with the condition. 1. Surgical intervention for prolonged intubation 2. Splenomegaly 3. Severely increased basal metabolic rate (BMR) 4. Elevated WBC count, rebound tenderness 5. Multicentric ductal carcinoma, male or female 6. Severe Crohn's disease 7. Cancer in the head of the pancreas removed 8. Stage I or stage II cancer without axillary node involvement 9, Laceration of the spleen A. Whipple B. McVay repair C. Radical mastectomy D. Tracheostomy E. Splenorrhaphy F. Appendectomy G. Right hemicolectomy H. Splenectomy I. Thyroidectomy 10. Defect in abdominal wall affecting structures of spermatic cord, Scarpa's fascia, cremaster muscle J. MastectomyExplanation / Answer
1) Peptic ulsers are most frequently occured in the inner lining os stomach,starting of small intestine and lower part of oesophagus.
2) Gastrostomy is a surgical procedure for inserting a "g-tube" through the abdomen all into the stomach. The tube is used for feeding or drainage. Two reasons why a patient goes through gastrostomy are :
3) -
4)Gastrectomy is removal of stomach which coul be partial or total.Reconstruction techniques is performed after gastric resection between the remnant stomach and the first jejunal loop.Roux-en-Y reconstruction method is preffered technique . This is simple reconstuction when compared tother reconstruction procedure and gives satisfactory results.Roux-en-Y method improves healthin short term with functional outcome after total gastrectomy with better potential seen in nutritional intake.
5) Billroth1 and billroth2 are reconstruction methods.In billroth1 method lower stomach operation is involved and surgical procedure is called gastroduodenostomy. In billroth2 resection occurs for the lower part of the stomach ans surgical procedure is called gastrojejunostomy.
6)
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