Module 3: Upper GI - MNT for Upper GI Disorders (Stomach)

Question 1

Dyspepsia is ___________ or upper GI discomfort.

Answer 1

indigestion

Question 2

Functional dyspepsia is recurrent upper GI _________ of unknown etiology.

Answer 2

discomfort

Question 3

_________ is inflammation of the gastric mucosa.

Answer 3

Gastritis

Question 4

Gastritis could be _______ onset due to eating something spoiled or a bacterial toxin.

Answer 4

acute

Question 5

Chronic gastritis is __________ inflammation that can lead to atrophy of ___________ cells (atrophic gastritis) and achlorhydria (inadequate HCl and secretion).

Answer 5

prolonged, parietal

Question 6

The most common primary cause of chronic gastritis is ___________ bacteria.

Answer 6

H. pylori

Question 7

Atrophic gastritis is associated with vitamin B _____ malabsorption and decreased Fe and Ca absorption

Answer 7

12

Question 8

T/F: Atrophic gastritis could increase risk for stomach cancer.

Answer 8

T

Question 9

________ ulcer disease (PUD) is a consequence of gastritis. They’re ulcerations of the _________ mucosa that penetrate the submucosa.

Answer 9

Peptic, gastric

Question 10

______ is a lesion that penetrated the mucosal layer down to the submucosa.

Answer 10

Ulcer

Question 11

______________ is a hole that goes all the way through the layers of the stomach.

Answer 11

Perforation

Question 12

Gastrectomy is a __________ removal of part or all of the ___________.

Answer 12

surgical, stomach

Question 13

Zollinger-Ellison Syndrome is a condition where there’s an increased production of the hormone __________ (which stimulates HCl production, resulting in severe peptic ulcers).

Answer 13

gastrin

Question 14

Someone may have a gastrectomy is they have Zollinger-Ellison Syndrome or ________.

Answer 14

cancer

Question 15

GastroDUODENostomy (Billroth _____) is the surgical connection between the distal portion of the stomach to the proximal ____________.

This bypasses the ___________ sphincter —–> risk of dumping syndrome.

Answer 15

1, duodenum, pyloric

Question 16

GastroJEJUNostomy (Billroth ______) is the surgical connection between the stomach to the side of the ________.

This bypasses the pyloric sphincter and creates a ______ ——> risk of dumping syndrome, bacterial overgrowth & fat malabsorption.

Answer 16

2, jejunum, loop

Question 17

The __________________ gastric bypass is common, where a small part of the stomach is sectioned off with staples to create a new little stomach (pouch).

The pouch is directly connected to the _________, bypassing the rest of the stomach and upper portion of the SI.

A biliary ________ limb is created to connect the duodenum + jejunum so bile & pancreatic juices can still enter the jejunum.

Answer 17

Roux-en-Y

jejunum

pancreatic

Question 18

The Roux-en-Y bypass is both restrictive and _____________m for wt loss.

Answer 18

malabsorptive

Question 19

The vertical ____________ gastrectomy is where ____% of the stomach is removed, but no intestines are bypassed.

Answer 19

sleeve, 80

Question 20

T/F: The vertical sleeve gastrectomy is purely restrictive.

Answer 20

T

Question 21

A vagotomy severs portions of the ______ nerve to reduce HCl secretion.

Answer 21

vagus

Question 22

A pyloroplasty is usually done after a ___________ to widen the opening of the ______ to increase gastric emptying.

Answer 22

vagotomy, pylorus

Question 23

_______ syndrome occurs w/alteration or bypass of the pyloric sphincter and contents of the _______ empty too quickly into the SI.

Answer 23

Dumping, stomach

Question 24

Gastroparesis is delayed gastric ___________.

Answer 24

emptying

Question 25

Bezoars are mass of _____________ material in the stomach. This is usually caused by high-fiber foods in a gastroparesis diet.

Answer 25

undigested