L14: Basic GI Surgery Pt.2 (Ellison) Flashcards Preview

Surgery (Spring 2015) > L14: Basic GI Surgery Pt.2 (Ellison) > Flashcards

Flashcards in L14: Basic GI Surgery Pt.2 (Ellison) Deck (12):
1

adv. of enterotomy

less risk of surgical dehiscence, retains absorptive capacity

2

~40% of FB pass within 1-3days

:)

3

disadv. of anastomosis

longer sx time
greater risk of leakage
stricture
weight loss/d possible

4

gentle approximating suture better than crushing suture

:)

5

CS of colorectal lesion

constipation
obstipation
tenesmus
dyschezia
hematodyschezia

6

idiopathic megacolon in cats

-mid to older
-no sex predisposition
-inability of smooth m. to contract
-afferent n. dysfunction?
-tx: lactulose, cisapride

7

considerations w/ colonic sx

-segmental circulation
-high bacteria load
-collagen lysis exceeds synthesis 3-4d
-collagenase production increased
-poor omental access
-solid feces
-danger of sepsis

8

2 methods of subtotal colectomy in cats

colocolostomy or ileocolostomy

9

etiology of intussusception

hypermotility
distemper
parvo enteritis
intestinal parasitism
bowel manipulation

10

CS of intuss.

inappetence
v
tenesmus
melena

11

Dx of intuss.

sausage palpation
bullseye sign on U/S**
gaseous distention
upper GI
Ba enema

12

prevent. intuss.

enterpexy (not anymore)