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Esophageal Disorders

Medical-Surgical Nursing

QuestionAnswer
What is the herniation of the stomach into the esophagus through an opening in the diaphragm? Hiatal hernia
When does a sliding hiatal hernia occur? When the patient is supine
What are the 2 types of hiatal hernias? Sliding and Paraesophageal (rolling)
What is an esophagram? Barium swallow test
What is the attachment of the stomach subdiaphragmatically to prevent reherniaton? Gastropexy
What is usually the first indication of GERD and hiatal hernia in the elderly? Esophageal bleeding
What are most esophageal cancers? Adenocarcinomas
Who is at the greatest risk for esophageal cancer? Men ages 70-84 years
What is the most common symptom of esophageal cancer? Progressive dysphagia
What is the removal of part or all of the esophagus? Esophagectomy
What esophageal procedure is associated with Dacron graft? Esophagectomy
What is the resection of the esophagus and anastomosis of the remaining portion to the stomach? Esophagogastrostomy
What is the resection of a portion of the esophagus and anastomosis of a segment of colon to the remaining portion? Esophagoenterostomy
What is important patient education with photodynamic therapy? Avoid direct sunlight for 4 weeks
What are S/S of tube feedings leaking into the mediastinum? Pain, increased temperature, and dyspnea
Is it normal to have bloody drainage from an NG tube 8-12 hours after esophageal surgery? Yes
True or False: Cardiac dysrhythmias may occur after esophageal surgery. True
Eosinophilic esophagitis (EoE)
What is common drug therapy for eosinophilic esophagitis? PPIs and corticosteroids
What is esophageal diverticula? Saclike pouches of one or more layers of the esophagus
A chronic disorder in which peristalsis is absent in lower 2/3 of the esophagus
What is the most common symptom of achalasia? Dysphagia with liquids and solids
What is Heller myotomy associated with? Achalasia
What is a predisposing factor of GERD? An incompetent LES
What is the most common symptom of GERD? Pyrosis
What is the difference between chest pain in GERD and chest pain with angina? Antacids relieve chest-pain with GERD but not with angina
What is a globus sensation? Lump in throat
What are complications from GERD?
What food decrease LES pressure? Chocolate, peppermint, tomatoes, coffee, and tea
What is the most common side effect of PPIs? Headache
When are antacids most effective? If taken 1-3 hours after a meal and at bedtime
When is PPI use most effective? If taken once daily before breakfast
How long after a meal should a patient with GERD avoid lying down? 2-3 hours
Created by: shrewsburysd