T2- GI Disorders: Biliary atresia, imperforate anus, & hernias, GER, ect Flashcards
Bile duct fibrosis
Biliray atresia
Untreated billiary atresia leads to death before ___
Age 2
What is the treatment for billiary atresia?
Surgical liver transplant
What type of procedure is associated with biliary atresia?
Kasai procedure
What does the Kasai procedure do?
Hepatic portoenterostomy allows for bile drainage
No external opening to the rectum
Imperforate anus
What is the first sign of imperforate anus?
No passage of meconium within first 24 hours
What do we check in a patient with imperforate anus?
“Anal wink”
How do we see where things are with imperforate anus?
Imaging
Is this a surgical procedure for imperforate anus?
Simple “pull through” colostomy and reconstructive repair (high defect)
What are the 3 types of hernias?
Umbilical
Inguinal
Diaphragmatic
What hernia is the most common?
Umbilical
Problem with the umbilical ring and lets out bowel
Umbilical hernia
How is umbilical hernia corrected?
Surgical correction
What can be a problem with umbilical hernia?
Stangulation is a problem
What are the two types of inguinal hernias?
Direct
Indirect
What type of hernia:
Abdominal contents herniate through a weak point in the fascia of the abdominal wall and into the inguinal canal
Direct inguinal hernia
What type of hernia:
Abdominal contents protrude through deep inguinal ring; caused by failure of embryonic closure of the internal inguinal ring (after testicle has passed)
Indirect inguinal hernias
When does a diaphragmatic hernia occur?
7-10th week of gestation
Hypoplasia of the lung
Diaphragmatic hernia characteistic
What are 2 types of abdominal wall defects?
Omphalocele
Gastroschisis (contents outside of the body placed back in the body)
“Acid indigestion”
Gastroesophageal reflux
What is GER associated with?
- FTT
- Bleeding or dysphagia
- Apnea
- Bronchospasm
- Laryngospasm
- Pneumonia
- Asthma
What is the problem with GER?
Lower esophageal sphincter dysfunction, poor clearance of acid, delay in gastric emptying
Signs of GER?
- Passive regurgitation or emesis
- Poor weight gain, burning, gagging/choking after feediing
- Apnea
- Recurrent pneumonias
What are treatment methods for GER?
- Small frequent meals
- NG feedings
- Thickening with rice cereal!!!!
- Position
What are some meds for GER?
H2 blockers
Proton pump inhibitors
How do we place a GER infant after feeding?
UPRIGHT IN INFANT SEAT (like a car seat) after feeding!!!
What is the one of the ONLY diseases where putting rice cereal in milk is okay and why?
GER patients–helps thicken the milk!!!
