Gastrointestinal System Disorders Q 218 - Gyan Darpan : Learning Portal
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Tuesday 12 April 2022

Gastrointestinal System Disorders Q 218

Which of the following complications of gastric resection should the nurse teach the client to watch for?
    A. Constipation
    B. Dumping syndrome
    C. Gastric spasm
    D. Intestinal spasms

Correct Answer: B. Dumping syndrome

Dumping syndrome is a problem that occurs postprandially after gastric resection because ingested food rapidly enters the jejunum without proper mixing and without the normal duodenal digestive processing. Dumping syndrome is treated primarily by diet modification, medical treatment with somatostatin analogs, or surgical intervention for refractory cases.

Option A: Diarrhea, not constipation, may also be a symptom. The most common post-gastrectomy complications following gastric resection include nutritional deficiencies, dumping syndrome, small gastric remnant, post-vagotomy diarrhea, delayed gastric emptying, afferent or efferent loop syndrome, roux stasis, and bile reflux gastritis.
Option C: Gastric spasms don’t occur, but antispasmodics may be given to slow gastric emptying. Internal hernias are a known cause of acute abdominal pain in patients with gastric resection and Roux-en-Y reconstruction. Three types of trans-mesenteric hernias commonly occur in these patients.
Option D: Intestinal spasms don’t occur, but antispasmodics may be given to slow gastric emptying. Afferent and Efferent Loop Syndromes are well-established complications of gastric resection. Afferent loop syndrome is an uncommon obstruction that may result from the internal hernia, marginal ulceration, adhesions, recurrent cancer, or intussusception in patients with Billroth II gastrectomy.

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