Functional Intestinal Disorders
Rome criteria define constipation as this many bowel movements per week
What is two or fewer?
These two types of drugs commonly contribute to postoperative ileus.
What are anticholinergic drugs and narcotics?
This was removed from the Rome criteria for the diagnosis of biliary dyskinesia
What is gallbladder ejection fraction?
This percentage of ingested foreign bodies pass without intervention.
What is 80–90%?
Parasympathetic function of the stomach is supplied by this nerve.
What is the vagus nerve?
These are two surgical options for gastroparesis refractory to nonoperative management.
What are pyloroplasty, gastric stimulator, Roux-en-Y reconstruction, or gastrectomy?
Retention of >20% of Sitz markers after 5 days is diagnostic of this condition.
What is colonic inertia?
In a patient with paralytic ileus, these three electrolyte abnormalities should be corrected.
What are hypokalemia, hyponatremia, and hypomagnesemia?
According to Rome criteria, typical biliary pain has these four characteristics. Name 3.
What are acute onset and >20 minutes, episodic, lifestyle-limiting, and not relieved by bowel movements/acid suppression/positional changes?
Intentional foreign body ingestion in an adult should prompt consideration of this underlying condition.
What is a psychiatric condition?
Gastroparesis is most commonly associated with this medical condition.
What is diabetes mellitus?
When working up IBS, these three diagnostic studies are necessary to rule out other pathology.
What are stool studies, colonoscopy, and Sitzmark/scintigraphic study?
When evaluating suspected paralytic ileus, this diagnosis must also be considered.
What is mechanical small bowel obstruction?
Biliary dyskinesia has these four characteristics by Rome criteria (Name 3)
What are typical biliary pain, absence of gallstones, normal LFTs/bilirubin/lipase/amylase, and persistence of symptoms?
A child swallows two magnets but is asymptomatic. This is the appropriate treatment.
What is emergency endoscopic removal?
Gastric dysfunction is associated with this infection.
What is Helicobacter pylori?
These two therapies are the mainstay of treatment for colonic pseudo-obstruction.
What are neostigmine and colonoscopic decompression?
This is the typical abdominal X-ray appearance of paralytic ileus.
What is uniform distention of the stomach, small bowel, and colon?
Sphincter of Oddi dysfunction has these three characteristics by Rome criteria.
What are typical biliary pain, absence of gallstones, and elevated LFTs including bilirubin?
An asymptomatic patient with an ingested button battery should undergo endoscopic removal if the battery remains in the stomach after this many days.
What is 10–14 days?
This type of bezoar is composed of hair.
What is a trichobezoar?
For colonic inertia with failure of medical therapy, this operation should be considered.
What is total abdominal colectomy?
These are three indications for surgery in a patient with ileus (Name at least 2)
What are peritonitis, intra-abdominal abscess, and hemorrhage?
During open surgical sphincterotomy, the ampulla and sphincter are incised at this position.
What is 11 o'clock?
An asymptomatic patient with an ingested button battery requires urgent endoscopy in these two circumstances
What are age younger than 5 years and battery diameter ≥20 mm?
Gastric dysmotility is associated with a prior history of this procedure.
What is vagotomy?