GI Disorders Flashcards
Can you survive without a stomach?
Yes
Can you survive without a small bowel?
No
How many cm of combined jejunum and ileum do you need to achieve nutritional autonomy if there is no colon?
200cm
How many cm of duodenum do you need to achieve nutritional autonomy if there is colon in continuity?
100-150cm
What is the definition of short bowel syndrome?
A symptom complex which occurs in adults who has < 200 cm of combined jejunum and ileum
What physiological problems might you expect in patients with short bowel syndrome?
Mal nutrition Malabsorption Weight loss Diarrhea Dehydration
Can you survive without a large bowel?
Yes
What does bright red bleeding indicate?
Bleeding which is low in the colon or rectum
What does darker red bleeding per rectum indicate?
A GI bleed which lies higher up in the GI system
What is Melena?
Dark, tar like stool which indicates bleeding in the stomach
What investigations can be done to identify a GI bleed?
OGD and colonoscopy
CT angiogram
What might a OGDoscopy show?
Duodenal ulcer which is bleeding
If the OGD shows too much blood, what does this indicate about the bleed?
The bleeding source is in the Upper GI tract
If endoscopic measures fail to show the location of the bleed, what investigation should be done instead?
CT angiogram
What is the treatment for a GI bleed?
Embolism of the bleed