Digestive System Disorders
In this assignment, you will examine the pathophysiology underlying complications of gastric bypass surgery.
Step 1: Locate at least one evidence-based resource to support your responses.
Step 2 Download the Digestive System Disorders worksheet.
Step 3 Complete the worksheet.
Enter the clinical manifestations for each complication.
Explain the underlying pathophysiology.
Write a brief teaching plan for dumping syndrome.
Be sure to cite all sources used to complete the worksheet and provide a reference using proper APA formatting
| Complication | Clinical Manifestations | Underlying Pathophysiology |
| Dumping syndrome | Major manifestations include bloating, nausea and vomiting, pain in the stomach, flushing, increased diarrhea, flushing, and feeling of dizziness with an increased heart rate (National Institute of Diabetes and Digestive and Kidney Diseases, n.d.).
|
It is caused by the rapid movement of chyme in people who had gastric surgery due to weakened gastric acid and protease action on food. |
| Gallstones | Clinical manifestations include long-lasting pain around the ribs, high body temperature, instances of sweating, jaundice, feelings of nausea, and increased vomiting (National Institute of Diabetes and Digestive and Kidney Diseases, n.d.).
|
Gastones develop due to the concentration and supersaturation of bile in the gallbladder due to either cholesterol or calcium bilirubin concentrations. |
| Protein or calorie malnutrition | Clinical manifestations include reduced body weight, weakness, thin stature, edema on the belly, increased inattention, hair loss, hair brittleness, stunted physical growth and retarded mental development, and dry rigid skin (Dodd, 2021). | Patients usually have reduced intake of sufficient nutrients from consumed foods or have a condition that limits the absorption of nutrients from foods consumed. |
| Strictures/bowel obstruction
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Clinical manifestations include cramping of the stomach, causing pain, constipation, and a bloated or distended stomach. Sometimes, patients can experience reduced appetite and vomiting. | Strictures are due to blocked small intestines or large intestines due to overgrown fibrous tissue after surgery or in patients with cancer. |
| Anastomotic leaks | Clinical manifestations include increased pain in the abdomen, swelling of the abdomen, and increased fever. In advanced cases, patients may have sepsis, shock, and delirium. | Majorly linked to surgery, leaving a lot of tension on the site of the surgery or poor immunity. |
| Teaching Plan (list four or five main points) | How does this alter the pathophysiology and minimize the symptoms? |
| 1. Foods to avoid eating
2. Foods to eat 3. How to chew food 4. When to drink, during and after eating 5. Intervals of eating |
Avoiding foods that increase the risk of dumping and taking foods that reduce dumping, such as high-fiber foods, reduce the movement of food from the stomach and drawing of water from small intestines. This reduces the symptoms. |
Dodd, K. (2021). Understanding Protein Calorie Malnutrition. The Geriatric Dietitian. https://thegeriatricdietitian.com/understanding-protein-calorie-malnutrition/
National Institute of Diabetes and Digestive and Kidney Diseases. (n.d.). Digestive Diseases | NIDDK. Retrieved February 24, 2023, from https://www.niddk.nih.gov/health-information/digestive-diseases
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