ANP 330 Lecture 64: ANP 330
Document Summary
Rigid, board like abd, severe generalized abd & shoulder pain, drawing up knees. Ulcer surgery procedure used to treat pud when medications and other interventions have failed. Used to relieve a present pud and to prevent recurrence. Also used to treat acute gi bleed, perforation. Indicated when ulcer is perforated and overflowed into the abdomen. Also there is high recurrence rate duodenal & gastric ulcers intractability: failure of ulcer to heal or recurrence after therapy. Cutting of vagus nerve (decreases gastric acidby reducing stimulation to parietal cells) To widen the exit of the pylorus and facilitates emptying of stomach contents, done post vagotomy. Billroth i (gastroduodenostomy) - the distal portion of the stomach is removed and the remainder is anastomosed to the duodenum. The lower portion of the stomach is removed and the remainder is anastomosed to the jejunum. Removal of the stomach from the level of the lower esophagus to the jejunum.
