Surgery>>>>>Small Intestine
Question 25#

After an emergency operation for bowel infarction in which more than half of the small intestine was removed and a jejunostomy created, high volume ostomy losses cause recurrent dehydration. Management of this condition includes which of the following?

a. Proton pump inhibitors or histamine-2 receptor antagonists
b. Octreotide
c. Loperamide
d. All of the above

Correct Answer is D


Reducing gastric secretion with proton pump inhibitors or histamine-2 receptor antagonist, reducing gastroenteropancreatic secretions with octreotide, and inhibiting motility with agents such as loperamide or diphenoxylate, are useful approaches to prevent dehydration as the short gut adapts to its new length. Total parenteral nutrition is also often required.