GI: Small Bowel Flashcards
what is duodenal atresia
congenital failure of duodenum to canalize
duodenal atresia is associated with what congenital disorder
Trisomy 21
what are 3 clinical features of duodenal atresia
- polyhydramnios
- distension of stomach and blind loop of duodenum (‘double bubble’ sign)
- bilious vomiting
What is Mechel Diverticulum
outpouching of all 3 layers of the
What causes Meckel diverticulum
failure of vitelline duct to involute
what is the ‘rule of 2s’
Meckel Diverticulum
- 2% population
- 2 inches long and located in small bowel within 2 feet of the ileocecal valve
- present during 2 years of life with bleeding ( heterotopic gastric mucosa), volvulus, intussusception, or obstruction (mimics appendicitis)
MOST CASES ARES ASYMPTOMATIC
what is the most common congenital anomaly of the GI tract
Meckel Diverticulum
what is volvulus
twisting of bowel along its mesentery
Volvulus causes what
obstruction and disruption of blood supply with infarction
what is the most common location of volvulus
sigmoid colon ( elderly) cecum ( young adults)
What is intussusception
telescoping of proximal segment of bowel forward into distal segment
- telescoped segment is pulled forward by peristalsis, resulting in obstruction and disruption of blood supply with infarction
What is the most common cause of intussusception in children?
lymphoid hyperplasia (e.g., due to rotavirus)
What is the most common cause of intussusception in adults?
tumor
What is small bowel infaraction
small bowel is highly susceptible to ischemic injury
What are clinical features of small bowel infarction
abdominal pain
bloody diarrhea
decreased bowel sounds
when causes transmural infarction to occur in small bowel infarction
thrombosis/embolism of superior mesenteric artery or thrombosis of mesenteric vein
when causes mucosal infarction to occur in small bowel infarction
marked hypotension