5: Stomach Flashcards
What is the suture-holding layer for the whole GI tract?
The submucosa
What should you check before doing stomach surgery?
Electrolytes and hydration as usually inappetant
How much bacteria is there in the stomach?
Not much due to acid
What should you do after you have closed the stomach?
Change instrument and gloves
What are the indications for a gastrotomy?
Biopsy or FB removal
How do you enter the stomach?
Stab incision in the mid-body (will bleed) then continue with scissors
How long should your stomach incision be?
Long enough to get the FB out without tearing
Which pattern do you use to close the stomach?
Single continuous appositional layer (don’t need inverting)
Which suture material should you use to close the stomach?
Monofilament
Which radiographs do you take to see a foreign body?
Always left and right
How easy is ultrasound to see a stomach foreign body?
Ultrasound
How should you try to remove a foreign body first?
Endoscopically
Advantages of a tube gastropexy?
Quick, simple, allows feeding and decompression postoperatively
Disadvantages of a tube gastropexy?
Increased morbidity and hospital stay, adhesion will lengthen with time, higher recurrence rate
Advantages of incisional gastropexy?
Simple, few complications, low recurrence
