Pediatric GI Surgery

Question 1

What is the first step after Pyloric Stenosis has been diagnosed?

Answer 1

Resuscitate the patient!!
-First, medical
-Then, surgical
First optimize the infant’s medical status

Question 2

What do you give a patient with Pyloric Stenosis first?

Answer 2

First, just give normal saline based on dehydration level. Then, when they produce urine, start checking electrolytes and correcting them.

Question 3

What electrolytes must you check with Pyloric Stenosis? S

Answer 3

Hypokalemia, Hypochloremia, metabolic alkalosis
-Emesis causes a loss of HCl
-Kidneys retain H+ then instead of K+
NPO = withhold food and fluids

Question 4

With Meckel’s Diverticulitis, what makes up 20-30% of complications?

Answer 4

Painless Lower GI bleed.

Question 5

What causes a painless lower GI bleed in Meckel’s Diverticulitis?

Answer 5

Due to the gastric tissue content din the diverticulum. Bleeding occurs on wall opposite of the Meckel’s.

Question 6

What is the test for Meckel’s Diverticulitis?

Answer 6

Meckel’s scan: Technetium-9m pertechnetate scintigraphy

Question 7

What is the treatment for Meckel’s Diverticulitis?

Answer 7

Surgical resection