Principles of SA GI surgery

Question 1

What are the indications for GIT surgery?

Answer 1

Disease of wall of GIT, partial or complete obstruction of GIT.

Question 2

In what circumstance might you get gastric vomiting? How do you correct this? When should you correct this in relation to surgery?

Answer 2

In gastric surgical diseases, ALWAYS correct dehyration and poor perfusion before surgery. I.V. isotonic crystalloids, I.V. K+ supplements.

Question 3

In what circumstance might you get acute vomiting? How do you correct this? When should you correct this in relation to surgery?

Answer 3

In complete obstruction of SI, ALWAYS correct dehyration and poor perfusion before surgery. I.V. isotonic crystalloids, I.V. K+ supplements.

Question 4

In what circumstance might you get chronic vomiting, diarrhoea and weightloss? How do you correct this? When should you correct this in relation to surgery?

Answer 4

In partial obstruction of SI, ALWAYS correct dehyration and poor perfusion before surgery. I.V. isotonic crystalloids, I.V. K+ supplements.

Question 5

In what circumstance might you get haematamesis, melaena? How do you correct this? When should you correct this in relation to surgery?

Answer 5

GI bleeding, leads to anaemia. Correct prior to surgery with blood transfusions, Fe+