T. Ulcers

Question 1

Peptic Ulcer Disease

Answer 1

A condition characterized by erosion of the GI mucosa resulting from the digestive action of HCl and pepsin

Question 2

Acute Peptic Ulcer Disease

Answer 2

• minimal inflammation, superficial errosin

* resolves quickly when the cause is identified and removed.

Question 3

Chronic Peptic Ulcer Disease

Answer 3

• erroding through to muscle wall, scarring

* long duration

Question 4

Duodenal PUD

Answer 4

penetrating
Increased gastric secretions.
35-45 years of age is peak
Associated with COPD and other diseases.
Associated with psychological stress
Duodenal pain 2 – 4 hours after meals, midmorning, midafternoon, middle of the night
Occasional N&V

Question 5

Gastric PUD

Answer 5

superficial
Normal or decreased gastric secretions.
50 – 60 years of age is peak
Increased incidence with burns, head trauma surgery
Gastric pain 1 – 2 hours after a meal
Occasional N&V

Question 6

Cytoprotective drug therapy

Answer 6

stimulate mucus production and enhance blood flow throughout the lining of the gastrointestinal tract. These agents also work by forming a coating that protects the ulcerated tissue. Ex. pepto bismo

Question 7

Billroth I procedure

Answer 7

subtotal gastric resection with gastroduodenostomy anastomosis
• a type of reconstruction after a partial gastrectomy in which the stomach is anastomosed (linked) to the duodenum

Question 8

Billroth II procedure

Answer 8

• subtotal gastric resection with gastrojejunostomy anastomosis
• an opening hole is made in the next section of the small intestine, the jejunum, and the stomach attached at that opening. The pylorus is used to grind food and slowly release it into the small intestine

Question 9

Gastritis

Answer 9

• Inflammation of gastric mucosa
• Result of a breakdown in gastric mucosal barrier. (steak tissue unprotected from HCL
• Tissue edema results.
• Disruption of capillary walls.
• risk of haemorrhage
• drugs and diet are a risk factor
• Eliminating the cause and preventing or avoiding it in the future are generally all that is needed to treat acute gastritis.

Question 10

Dumping syndrome

Answer 10

(occurs with procedures for gastric outlet obstruction and ulcer removal/reduction):
• group of symptoms, such as diarrhea, nausea, and feeling light-headed or tired after a meal, that are caused by rapid gastric emptying.

Question 11

Gastric Cancer

Answer 11

• Adenocarcinoma of the stomach wall
• Usually begins with a nonspecific mucosal injury as a result of aging, autoimmunity, or repeated exposure to irritants such as bile, anti-inflammatory agents, or alcohol