BILROTH SURGERY [1 and 2] and Dumping Syndrome Flashcards
This is a partial resection of the stomach with anastomosis to the duodenum (Billroth I) or to the jejunum (Billroth II).
Bilroth Surgery
It is a standard treatment for ulcer disease, stomach cancer, injury and other diseases of the stomach.
Bilroth Surgery
also known as gastroduodenostomy is a surgical procedure that involves the creation of a new connection between the stomach and the duodenum, the first section of the human small intestine
BILROTH 1
This procedure is often recommended for patients suffering from stomach cancer, peptic ulcers, gastric obstruction, and a malfunctioning pyloric valve.
BILROTH 1
A patient is scheduled for a surgical intervention following a gastrectomy, and the primary goal is to restore normal gastrointestinal physiology while preserving the duodenal passage. Which surgical procedure would be most appropriate for this patient?
a. Whipple procedure
b. Billroth I procedure
c. Hartmann’s procedure
d. Nissen fundoplication
b. Billroth I procedure
Rationale:
The Billroth I procedure is indicated after a gastrectomy to restore normal gastrointestinal physiology and preserve the duodenal passage. It is commonly recommended for patients with benign diseases in the gastrointestinal system.
The other options, such as the Whipple procedure, Hartmann’s procedure, and Nissen fundoplication, are not specifically designed for restoring normal gastrointestinal physiology after a gastrectomy.
A patient is scheduled for a Billroth I procedure. What anatomical connection will be established during this surgical intervention?
a. Connection between the stomach and the duodenum
b. Connection between the stomach and the jejunum
c. Connection between the esophagus and the duodenum
d. Connection between the esophagus and the jejunum
Answer:
a. Connection between the stomach and the duodenum
Rationale:
The Billroth I procedure, also known as gastroduodenostomy, involves creating a new connection between the stomach and the duodenum, specifically the first section of the small intestine.
A patient is diagnosed with gastric cancer and requires a surgical procedure to establish a connection between the stomach and the jejunum. Which surgical intervention is indicated in this case?
a. Billroth I procedure
b. Billroth II procedure
c. Cholecystectomy
d. Roux-en-Y gastric bypass
Answer:
b. Billroth II procedure
Rationale:
The Billroth II procedure, also known as gastrojejunostomy, involves creating a connection between the stomach and the jejunum. This procedure is often indicated in cases such as gastric cancer.
What is the primary purpose of a Billroth I procedure (gastroduodenostomy)?
a. To treat gallbladder disease
b. To establish a connection between the stomach and the jejunum
c. To restore normal gastrointestinal physiology after a gastrectomy
d. To create a connection between the stomach and the duodenum
Answer:
d. To create a connection between the stomach and the duodenum
Rationale:
The primary purpose of a Billroth I procedure is to create a new connection between the stomach and the duodenum, preserving the duodenal passage.
A patient who has undergone a Billroth II procedure reports symptoms of malabsorption. What could be a contributing factor to these symptoms?
a. Rapid gastric emptying
b. Limited fluid intake
c. Delayed stomach emptying
d. Reduced connection between the stomach and the jejunum
Answer:
a. Rapid gastric emptying
Rationale:
A Billroth II procedure (gastrojejunostomy) may lead to rapid gastric emptying, contributing to malabsorption. The direct connection between the stomach and the jejunum can result in undigested food entering the small intestine too quickly, impairing nutrient absorption.
What nursing intervention is most appropriate for managing symptoms of dumping syndrome in a patient after a gastric surgery?
a. Encourage the intake of sugary beverages during meals.
b. Suggest lying down immediately after eating.
c. Advocate for a diet high in simple sugars and milk products.
d. Delay fluid intake until 30 minutes after meals.
Answer:
d. Delay fluid intake until 30 minutes after meals.
Rationale:
Delaying fluid intake until at least 30 minutes after meals helps manage dumping syndrome symptoms by slowing down the emptying of gastric contents into the jejunum.
A patient who has undergone a gastric surgery reports experiencing restlessness, diaphoresis, abdominal cramps, and pallor after meals. What complication is most likely occurring?
a. Constipation
b. Dumping syndrome
c. Gastroesophageal reflux disease (GERD)
d. Peptic ulcer disease
Answer:
b. Dumping syndrome
Rationale:
Dumping syndrome is characterized by rapid emptying of gastric contents into the jejunum, leading to symptoms such as restlessness, diaphoresis, abdominal cramps, and pallor.
Think dumping syndrome “Drunk and Shock” n/v, confusion and diaphoresis
What is a key nursing intervention to promote patient education and compliance after a Billroth I procedure?
a. Encouraging the patient to resume a regular diet immediately
b. Emphasizing the importance of maintaining a high-fiber diet
c. Providing instructions on the correct use of laxatives
d. Teaching the patient to eat small, frequent meals and chew food thorough
Answer:
d. Teaching the patient to eat small, frequent meals and chew food thoroughly
Rationale:
After a Billroth I procedure, patients are advised to eat small, frequent meals and chew food thoroughly to facilitate digestion and prevent complications.
After a Billroth I procedure, the nurse instructs the patient to eat in a lying or recumbent position. What is the rationale behind this intervention?
a. Facilitates faster digestion
b. Promotes better nutrient absorption
c. Prevents reflux of gastric contents
d. Reduces the risk of aspiration
Answer:
c. Prevents reflux of gastric contents
Rationale:
Eating in a lying or recumbent position helps prevent reflux of gastric contents, reducing the risk of complications and promoting optimal digestion.
A patient with dumping syndrome is prescribed a high-protein diet. What is the rationale behind this dietary recommendation?
a. Protein promotes faster digestion.
b. Protein empties the stomach slowly.
c. Protein increases gastric emptying.
d. Protein reduces the risk of reflux.
Answer:
b. Protein empties the stomach slowly.
Rationale:
A high-protein diet is recommended for patients with dumping syndrome because proteins take longer to digest, slowing down the emptying of the stomach and reducing the severity of symptoms.
