L14: Basic GI Surgery Pt.2 (Ellison) Flashcards
1
Q
adv. of enterotomy
A
less risk of surgical dehiscence, retains absorptive capacity
2
Q
~40% of FB pass within 1-3days
A
:)
3
Q
disadv. of anastomosis
A
longer sx time
greater risk of leakage
stricture
weight loss/d possible
4
Q
gentle approximating suture better than crushing suture
A
:)
5
Q
CS of colorectal lesion
A
constipation obstipation tenesmus dyschezia hematodyschezia
6
Q
idiopathic megacolon in cats
A
- mid to older
- no sex predisposition
- inability of smooth m. to contract
- afferent n. dysfunction?
- tx: lactulose, cisapride
7
Q
considerations w/ colonic sx
A
- segmental circulation
- high bacteria load
- collagen lysis exceeds synthesis 3-4d
- collagenase production increased
- poor omental access
- solid feces
- danger of sepsis
8
Q
2 methods of subtotal colectomy in cats
A
colocolostomy or ileocolostomy
9
Q
etiology of intussusception
A
hypermotility distemper parvo enteritis intestinal parasitism bowel manipulation
10
Q
CS of intuss.
A
inappetence
v
tenesmus
melena
11
Q
Dx of intuss.
A
sausage palpation bullseye sign on U/S** gaseous distention upper GI Ba enema
12
Q
prevent. intuss.
A
enterpexy (not anymore)
