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Esophageal Disorders
Medical-Surgical Nursing
Question | Answer |
---|---|
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 |