Chapter 39 Assisting in gastroenterology

Anastomosis

The surgical joining together of two normally distinct organs

Fecalith

A hard, impacted mass of feces in the colon

fissures

Narrow slits of clefts in the abdominal wall

Flatus

Gas expelled through the anus

Hepatomegaly

Abnormal enlargement of the liver

Ileocecal

The valve guarding the opening of the ileum and cecum

Ileostomy

The surgical formation of an opening of the ileum on the surface of the abdomen through which fecal material is emptied

Melena

Black, tarry stool containing digested blood; usually caused by bleeding in the gastrointestinal tract

Polyps

Tumors on stem frequently found in the mucosal lining of the colon

Gastroenterologist

Physicians who specialize in diseases and disorders of the stomach, small intestine (colon), and appendix and the accessory organs of the liver, gallbladder, and pancreas

Peritoneum

Membrane that lines the abdominal cavity in mammals and covers most of the viscera

Mesentery

A double layer of peritoneum that attaches to the back wall of the abdominal cavity and supports the small intestine

Omentum

A fold of peritoneum supporting the viscera

adhesions

A fibrous band of scar tissue that binds together horally separate anatomical structures

Ascites

Accumulation of serous fluid in peritoneal cavity dropsy of the peritoneum

Carcinogens

Substances that cause cancer

Sclerotherapy

Treatment for esophogeal varices

Endemic disease

A disease that is constantly present to a greater or lesser degree in people living in a particular area

Portal hypertension

Elevated pressure in the portal circulation resulting from obstruction of venous flow into and through liver (cirrhosis of liver)

Lithotrispy

Surgical crushing of a stone

Esophaeal varices

Elarged and swollen veins at the lower end of the esophagus

Hematemesis

Vomitting blood

Peristlasis

The process of wave-like muscle contractions of the digestive tract that moves food along

Valsava's maneuver

Glottis is closed and pressure builds up in the thorax. BP decreases and fainting or heart failure occur

Three primary functions of the digestive system

Digestion, absorption, elimination

The gallbladder is located in the ___ quadrant of the abdomen

Right upper

The appendix is located in the ___ quadrant of the abdomen

Right lower

The stomach is located in the ___ quadrant of the abdomen

Left upper

The liver is located in the ___ quadrant of the abdomen

Right upper

The pancreas is located in the ___ quadrant of the abdomen

Left upper

The seven parts of the large intestine, in order.

Ascending, Right colic flexure, Transverse, Transverse mosocolon, Left colic flexure, descending, Sigmoid

The ___ delivers bile from the liver to the duodenum where the digestion is completed

Bile duct

The small intestine intestine is made up of?

The duodenum, jejunum, and ileum

The small intestine is lined with transverse folds of tissue called ___

Villi

Hiatal hernia

Hernia resulting from the protrusion of part of the stomach through the diaphragm

GERD

Backflow of the contents of the stomach into the esophagus

Gastric duodenum ulcers

Gastric ulcer formation involves widespread gastritis, inflammation of the oxyntic cells and atrophy of acid and pepsin-priducing cells. Duodenum ulcers are associated with high acid and low bicarbonate secretion

Food poisoning

Illness caused caused by poisonous or contaminated food

Dumping syndrome

rapid emptying of chyme from surgically created residual stomach into small intestine

Irritable bowel syndrome (IBS)

Altered bowel pattern and abdominal pain with bloating

Acute appendicitis

Acute inflammation caused by a hardened piece of feces, a worm, or enlarged lymph node

Crohn's disease

Chronic inflammation of the intestinal tract

Ulcerative colitis

Inflammation of the colon with the formation of ulcers

Celiac disease

Autoimmune disease; antibodies against gliadin in gluten; flat villi cannot digest gluten

Diverticular disease

Herniations of the lining of the colon

Hemorrhoids

Swollen, painful rectal veins; often a result of constipation, swollen, twisted varicose veins in the rectal region

Cirrhosis

A chronic disease interfering with the normal functioning of the liver

Hepatitis

Inflammation of the liver caused by a virus or a toxin

Oral tumors

Cancer of the lip, cancer of the tongue or gums

Esophageal cancer

Associated with chronic irritation resulting from chronic esophagitis

Gastric cancer

Food preservatives , long term use of nitrates; smoked foods

Liver cancer

Primary tumor caused by cirrhosis from hepatitis/ chemical exposure

Pancreatic cancer

cigarette smoking

Colorectal cancer

Genetic or familial link;p diet high in fat, sugar, and red meat