Gastrostomy and Related Medical Interventions
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Questions and Answers

What is a possible cause of intestinal obstruction in infants?

  • Rapid gastrointestinal development
  • Thicker-than-usual meconium formation (correct)
  • Increased levels of maternal serum a-fetoprotein
  • Delayed skeletal development
  • How is omphalocele or gastroschisis usually identified during pregnancy?

  • By increased peristaltic action
  • Through abdominal X-ray
  • By elevated maternal serum a-fetoprotein
  • Through prenatal sonogram (correct)
  • What symptom may indicate intestinal obstruction in infants?

  • Decreased bowel sounds
  • Decreased abdominal distension
  • Decreased respiratory rate
  • Vomiting of black-colored material (correct)
  • How is gastrointestinal distention managed in neonates?

    <p>Insertion of an orogastric tube attached to low suction</p> Signup and view all the answers

    In what scenario is immediate surgery scheduled for infants with intestinal obstruction?

    <p>To relieve the obstruction before bowel damage</p> Signup and view all the answers

    What is the typical approach for repairing intestinal obstruction in infants, except for meconium plug syndrome?

    <p>Laparoscopy</p> Signup and view all the answers

    What is the surgical approach for treating an omphalocele where the bowel is gradually returned to the abdomen by multiple surgical procedures?

    <p>Utilizing a Silastic pouch</p> Signup and view all the answers

    What characteristic distinguishes gastroschisis from omphalocele in terms of the abdominal organ location?

    <p>The abdominal organs spill freely from the abdominal wall</p> Signup and view all the answers

    What term describes the complete closure of the fetal bowel leading to obstruction?

    <p>Atresia</p> Signup and view all the answers

    What is the term used to describe the twisting of the mesentery of the bowel as it reenters the abdomen, potentially leading to volvulus?

    <p>Mesenteric torsion</p> Signup and view all the answers

    In cases of omphalocele with an unruptured sac, what method is used to gradually compress abdominal contents and allow skin to stretch between treatments?

    <p>Application of an external dressing with mild pressure</p> Signup and view all the answers

    What is the major cause of gastroschisis where the abdominal wall fails to close during development?

    <p>Abdominal wall defect</p> Signup and view all the answers

    What is the purpose of inserting a gastrostomy into the stomach?

    <p>To prevent dehydration and electrolyte imbalances</p> Signup and view all the answers

    When does a fascial ring less than 2 cm in size usually close spontaneously in cases of umbilical hernia?

    <p>After the child begins to walk at around 2 years of age</p> Signup and view all the answers

    What is the role of IV medications in the context of abdominal wall defects?

    <p>To restrict acid production in the stomach</p> Signup and view all the answers

    Why are umbilical hernias more commonly seen in Black children compared to other racial groups?

    <p>Delayed closure of the fascial ring</p> Signup and view all the answers

    What is the significance of the size of the fascial ring in cases of umbilical hernia?

    <p>It affects when surgical repair is needed</p> Signup and view all the answers

    How can umbilical hernias be differentiated from other abdominal wall defects?

    <p>By their size relative to the child's age</p> Signup and view all the answers

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