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Oseophagus and Stomach Cancer, Tumour, Dumping syndrome, Surgery, Alkaline…
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Tumour
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T3
(Stratified Squamous epithelium -> Submucosa -> Circular Layer -> Longitindinal layer -> Periesophageal tissue)
T4
(Stratified Squamous epithelium -> Submucosa -> Circular Layer -> Longitindinal layer -> Periesophageal tissue -> Aorta)
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Dumping syndrome
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Interventions
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High in protein, fat and low carbohydrates diet
Avoid high sugars, milk, chocolate, salt
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Pathophysiology
Excessively rapid emptying of gastric contents into intestine
[loss of gastric capacity &emptying control]
High osmotic gradient within the small intestine cause sudden shift of fluid from intravascular volume
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Surgery
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Oesophageal resection
Oesophagectomy
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Nursing care
Pre-op
Baseline assessment
Physical, psycho, social/ family, spiritual
Nutritional, cognitive, neurological
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Post-op
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Wound intact, off stitches >10-14 days
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Chest drain, NG tube & drains
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Intervention
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Wound management
Check chest drain exit site for subcutaneous emphysema
(new onset may indicate oesophageal anastomosis risk)
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