A lot has changed in the field of medicine over time due to technological advances as well as increased understanding of anatomy and physiology. This also holds true for a condition known as Gastroschisis, where advances have been made in detecting and treating the condition. As a result, what was once a death sentence has become a treatable condition. Gastroschisis is an abdominal wall defect that was first described in the early 16th century. At the time it was often confused with another defect by the name of Omphalocele; it was not until 1953 that Moore and Strokes made the distinction and properly define Gastroschisis as a 1-2 cm defect of the anterior abdominal wall, usually at the umbilical cord insertion (Raković, M., Danelisen, …show more content…
Over time the baby’s bowels can become distended and exposed to the amniotic fluid which can cause irritation (GASTROSCHISIS, 2016, P.2). Due to the concerns, testing and monitoring are highly recommended so it can inform the doctors the health of the baby (GASTROSCHISIS, 2016, P.2). Around 32 weeks, doctors usually begin antenatal testing once or twice a week (GASTROSCHISIS, 2016, P.2). Babies diagnosed with Gastroschisis are usually underweight compared to a healthy normal baby. During the third trimester complications can arise relatively such as poor growth, fetal distress, and possibly a preterm caesarean section (GASTROSCHISIS, 2016, P.2). Early caesarean section can avoid fetal deaths and increase the chances of proper nutrition and growth (GASTROSCHISIS, 2016, P.2).
Surgical Treatment
The surgical part of Gastroschisis is something that has been refined by the advancement in modern medicine, whether that be technological advances or our understanding of anatomy and physiology. The scope or time in surgery is usually dependent on the amount of bowel outside of the infant’s body, if the bowel is relatively small, surgeons will insert it in and close the opening. However, “if the baby has a large amount of bowel outside the body, several surgeries may be needed.
Surgical
…show more content…
Although the advancement in medicine and technology makes it possible and tolerable. Immediately after surgery some babies require the aid of a breathing machine for support. It is important to understand that the act of returning the bowels to their proper place does not amount to them instantly functioning the way it was meant. As a result the baby is unable to consume food in the normal process, to overcome this the baby will receive nutrition through an IV (GASTROSCHISIS, 2016, P.3). Doctors will also drain the baby of waste products due to the bowels not functioning properly, and the baby’s inability to process waste (GASTROSCHISIS, 2016, P.2). Once the waste being removed from the body becomes clear this is an indication that bowel movements have begun and the baby can start small incremental feeds (GASTROSCHISIS, 2016, P.3). This process can be daunting as it potentially has many setbacks. Doctors recommend and it is beneficial if human milk is given as an early feeding to the baby because their stomach and bowels are still sensitive (GASTROSCHISIS, 2016, P.3). Also, there are many reasons why breastfeeding is the best choice. It can fight against infections, diseases, and chronic conditions and infants are more likely to successfully consume the mother’s breast milk without rejecting
In the course of recent years we have made incredible advances in the analysis of colon and rectal ailment. On the off chance that you are mature enough you may review or knew about people experiencing an inflexible extension exam in the specialists facility called an unbending sigmoidoscopy. This study uncovered just the last 1/3 of the colon and totally missed injuries in most of the colon. In spite of the fact that it was exceptionally simple it served us well for a long time.
Patients with other abdominal anomalies may have an increased risk for intestinal atresia. For example, children with gastroschisis may also have intestinal atresia, and they should be examined for it (Bauman & Nanagas, 2015). The authors described a case of a neonatal child who was immediately diagnosed and treated for gastroschisis. However, the patient never had a bowel movement after surgical correction. By the fourth week without a bowel movement, an exploratory laparotomy was performed, and the child was diagnosed with intestinal atresia. Unfortunately, about 8 centimeters of small bowel was resected due to ill-appearance, but bowel to bowel anastomosis was performed. Interestingly, the patient still did not have a bowel movement, and
Unfortunately, for the young man, the accumulation continued for years leading to the ‘birth’ of faeces weighing 12kg. The expanded colon called ‘mega colon’ is one of the complications of Hirschsprung’s disease. Some of the other complications include:
A pair of U.S. surgeons has developed a new bariatric procedure, a modi䐣ጀed version of a duodenal switch, which may be
Based on the Current Science Inc. the occurrences of the pseudo-obstruction is because of continues dilation of the right colon and abdominal distension. The syndrome is very rare, but the complication occurrence is high for patients who undergo the major surgical procedure and those that have taken serious medication. Because of its rarity, experts find it difficult to record the exact prevalence, only an estimate of approximately 0.10% for patients who underwent surgery, only 0.05 for patients with trauma, and only 0.3% for patients who suffered from critical burns. It is also more common for the elderly men patients (Tack, J. 2006).
A malrotation of the gut occurs when something goes wrong during development the small intestine (gut or small bowel). When this occurs, the small intestine is not fixed in the abdomen (belly). The intestines are held by just their blood supply. When the intestines become twisted, because they are not fastened down, it cuts off their blood supply. It is much like a hose getting kinked. This loss of blood supply leads to damage to the gut. This condition is also called volvulus.
As a child, I had the habit of drinking coffee constantly in addition to eating spicy food daily. One day I woke up with an ulcer, and having the tendency to vomit. My parents took me to the clinic after 3 days of having the stomach pain because my sickness did not heal on its own. The doctor diagnosed that I had gastritis, which is the inflammation of the lining of the stomach. In the moment of the diagnosis, he did not explain what gastritis was, but explained that the coffee intake was the cause of my gastritis. The doctor gave me a prescription to heal my gastritis, but after taking the medicine, my illness worsened because of the spicy food that I kept constantly eating.
To ease the transition through this turbulent period, the newborn needs to be provided with easily digestible and bioavailable nutrition in the form of breast milk or infant formula. The infant depends on a diet of closely regulated composition and does not achieve nutritional independence until weaning.
The scientific name of this disease is called Gastro esophageal Disease, also called GERD. The disease can be very chronic. At the beginning of the stomach we have a muscle that is in the shape of a ring. The muscle is called the lower esophageal sphincter. When food passes through this ring the sphincter usually closes after the food passes through. If the esophageal sphincter (LES) does not close completely or if it stays open the acid form the stomach will move into the esophagus. If this happens in a period of two times a week of more you are considered to have Acid Reflux Disease.
The Ogilvie syndrome is one of the rare acquired disorders because of the abnormal involuntary contraction within the colon
Inclusion criteria were small or moderate size, non-bleeding gastric varices with few mucosal risky signs of bleeding, spleenorenal or gastrorenal shunts by doppler ultrasonography. Cases
The Gastric Emptying Study is a procedure that measures the speed that food leaves your stomach.The study help patient that have symptoms that may be do to less common emptying of the stomach.The main symptoms for slow emptying are nausea, vomiting,and abdominal pain. The main symptoms for faster emptying are diarrhea,weakness or pigheadedness after eating. The study is performed when the patient eats a meal with radioactive material in it. The meal consisted of a solid and a liquid.Then a scanner is put over the stomach to monitor radioactivity. As the amount of radioactivity decreases it show how fast the food left your system.To be eligible for this study you must not take and medication or drugs 48-72 hour
It is recommended that the patient eat small and frequent meals, find ways to cope with their stress, avoid drinking alcohol and milk, and substitute NSAIDs for a different pain reliever. The patient may also require dietary supplementation with iron and vitamin B12 to make up for these nutritional deficiencies caused by their gastritis. They should also make sure that all the food they consume is completely cooked to avoid contracting bacterial infection. Asymptomatic patients do not require these dietary adjustments; pharmacological therapy with antacids, acid reducers, and antibiotics (if condition was brought on by H. pylori infection) can be initiated to improve the patient’s
Open fetal surgery, in particular, remains constrained by the ever-threatened morbidity of premature rupture of membranes and pre-term delivery associated with this approach.5 As with any fetal procedure there is an inherent risk of preterm delivery, premature rupture of
The deceased activity of the propulsive actions of the intestines leads to an ileus, so there is no evidence for this. Patient had dyspepsia in past and took Tums but this is much worse and only partially relieved by chewable antacids. The pain has a burning quality and relieved with eating, especially drinking milk, but returns about two hours after eating. Thus, food and milk are relieving factors for the dyspepsia. The patient denies early satiety, anorexia or weight loss; therefore there is no evidence for gastric masses or gastroparesis. The stated symptoms of early satiety, anorexia and weight loss are indicators of stomach cancer, gastric masses or gastroparesis. The patient denies radiation of pain to back, melena, hematemesis or fever. When a gastric or duodenal ulcer perforates, especially in a posterior perforation, there is often pain radiating to the back. A peptic ulcer ulcerates the gastric mucosa. In a perforation, the ulceration erodes the mucosa and extends into the layers below the mucosa, which may include blood vessels. This leads to free air in the abdomen as well as bleeding. Since his pain does not radiate, there are no signs or symptoms of gastric or duodenal perforation. In peritonitis, the patient would have a fever as an indication of an infectious process. Peptic ulcer perforations are found in 2-10% of patients with PUD. Of these perforations, 60% are duodenal, 20% are antral and 20% are gastric body (Yeung,