1 / 10

Intussusception, Volvulus, Celiac disease

Intussusception, Volvulus, Celiac disease. Ricci, pp. 1523-1525; 1537-1538. Intussusception. Telescoping of bowel into itself Usually occurs as a complication of another bowel disorder Occurs more often in infant males. Manifestations. Sudden onset of intermittent, severe, abdominal pain

catrin
Download Presentation

Intussusception, Volvulus, Celiac disease

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Intussusception, Volvulus, Celiac disease Ricci, pp. 1523-1525; 1537-1538

  2. Intussusception • Telescoping of bowel into itself • Usually occurs as a complication of another bowel disorder • Occurs more often in infant males

  3. Manifestations • Sudden onset of intermittent, severe, abdominal pain • V/D—bilious vomiting indicates obstruction • Currant jelly stools • Lethargy • Dehydration • Sausage-shaped mass • Watch for peritonitis

  4. Diagnosis and Management • Barium enema is both diagnostic and therapeutic. May reduce intussusception. • Check labs for signs of dehydration and peritonitis • IVF and antibiotics • If can’t be reduced by barium enema, must be reduced surgically. • If necrosis has occurred, bowel resection must be done. Then routine postop nsg care.

  5. Volvulus • Twisting of bowel either in utero or after birth. • Can occur when bowel gets malrotated during during embryonic development. • Infection and necrosis can occur with resulting peritonitis and sepsis.

  6. Manifestations • Bilious vomiting • Abdominal pain and distention • Hypoactive bowel sounds • Guarding, rebound • Hematochezia, melena • Shocky with tachycardia and hypotension • + abd x-ray or UGI shows corkscrew appearance of bowel

  7. Management • IVF • Antibiotics, pain meds • NG tube to suction • Surgery to release or resect the bowel • Routine postop nursing care

  8. Celiac Disease • Intolerance to gluten • Immunologic disorder—higher incidence in those with other autoimmune diseases. • Villi in intestine that normally absorb nutrients become damaged by the immune response to gluten and malnutrition results. • May have genetic component. Genetic testing may be done.

  9. Manifestations • Diarrhea, steatorrhea, constipation • FTT, wt loss, poor muscle tone • Delay of sexual maturation • Abdominal distention • Irritability, listlessness • Nutritional deficiencies, anemia • +Antibody test to gluten • EGD with +intestinal bx

  10. Management • Elimination of gluten from diet for life • Most gluten-containing foods are in the grain family • Educate family about foods to avoid (p. 1538) • Better if entire family adopts diet to make it easier for child to cope.

More Related