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 (D)</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 (B)</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 (B)</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 (B)</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 (B)</p> Signup and view all the answers

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

<p>Atresia (D)</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 (C)</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 (A)</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 (C)</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 (D)</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 (B)</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 (C)</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 (D)</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 (B)</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 (C)</p> Signup and view all the answers

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