Small Intestines Flashcards
Triad of SBO
Dilated small bowel loops >3cm
Air fluid levels
Paucity of air in colon
Diagnostic test for partial small bowell obstruction
Small bowel series/ enteroclysis
Enterocutaneous fistula low output:
Enterocutaneous fistula high output:
> 500 ml/day
Timing of intestinal fistula surgery
After 2 to 3 months
Most common site of adenocarcinom in small bowel
Duodenum
Worst surgical outcome:
Jejunum/ileal adenocarcinoma
Most prevalent congenital anomaly of GIT
Persistence of omphalomesenteric duct
Meckel’s diverticulum
Common in ileum
Rule of two of Meckel’s diverticulum
2% population
2:1 female
2 feet proximal
2 years old
What is the most common cause of Mesenteric ischemia?
Arterial embolus
From left atrial thrombi
Where does arterial embolus usually dislodge resulting to MESENTERIC ISCHEMIA?
SMA distal to middle colic
Where does arterial thrombosis usually happen resulting to MESENTERIC ISCHEMIA?
Proximal SMA near origin
Hoe many hours does mesenteric ischemia becomes full thickness?
6 hours
Up to how many hours you can give thrombolytics in acute mesenteric ischemia?
Three parts of a hernia
Defect
Hernial sac
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