School of Nursing
GASTROINTESTINAL
TRACT
DISORDERS
SUBMITTED BY:
AGULLANA, NICOLE F.
AGULLANA, NICOLE FAYLOGNA
BSN-IV E
5. There is a blind end portion
of the esophagus. Fistulas
are present between both
widely spaced segments of
the esophagus and the
trachea.
An infant who is
receiving only IV
fluid generally needs
a pacifier to meet
nonnutritive sucking
needs
For surgical
correction, the
muscle of the pylorus
is split down to the
mucosa, allowing for
a larger lumen.
Although the
procedure sounds
simple, it is
technically difficult to
per- form, and there
is a high risk for
infection afterward
because the
abdominal incision is
near the diaper area.
Intussusception The invagination of one portion of The condition is a
the intestine into another usually surgical emergency.
Reduction of the
occurs in the second half of the intussusception must
first year of life. be done promptly by
In infants younger than 1 year, either instillation of a
intussusception generally occurs water-soluble
for idiopathic reasons. In infants solution, barium
older than 1 year, a “lead point” on enema, or air
the intestine likely cues the (pneumatic
invagination. Such a point might be insufflation) into the
a Meckel’s diverticulum, a polyp, bowel or surgery to
hypertrophy of Peyer’s patches reduce the
(lymphatic tissue of the bowel that invagination before
increases in size with viral necrosis of the
diseases), or bowel tumors. The effected portion of
point of the invagination is the bowel occurs.
generally at the juncture of the If there is no lead
distal ileum and proximal colon. point, just the
pressure of these
nonsurgical
techniques may
reduce the
intussusception.
After this type of
reduction, children
are observed for 24
hours be- cause some
children will have a
recurrence of the
intussusception
within this time. If
this occurs, children
will be scheduled for
an additional
reduction or surgery.
Hirschsprung’s Disease Hirschsprung’s disease, or Repair of aganglionic
(Aganglionic Megacolon) aganglionic megacolon, is absence megacolon involves
of ganglionic innervation to the dissection and re-
muscle of a section of the bowel in moval of the affected
most instances, the lower portion section, with
of the sigmoid colon just above the anastomosis of the
anus. The absence of nerve cells intestine (termed a
means there are no peristaltic pull-through
waves in this section to move fecal operation).
material through the segment of
intestine. This results in chronic Because this is a
constipation or ribbonlike stools technically difficult
(stools passing through such a operation to perform
small, narrow segment look like in a small abdomen,
ribbons). The portion of the bowel the condition is
proximal to the obstruction dilates, generally treated in
distending the abdomen. the newborn by two-
stage surgery: first a
temporary colostomy
is established,
followed by bowel
repair at 12 to 18
month of age.
Reference:
Medscape. (2018, September 19). Tracheoesophageal Fistula: Background, Pathophysiology,
Etiology. Retrieved September 30, 2018, from
https://emedicine.medscape.com/article/186735-overview
Silbert-Flagg, J., & Pillitteri, A. (2018). Maternal & child health nursing: Care of the childbearing
& childrearing family (Vol. 6). Philadelphia: Wolters Kluwer.
Stanford. (2018). Default - Stanford Children's Health. Retrieved September 30, 2018, from
https://www.stanfordchildrens.org/en/topic/default?id=tracheoesophageal-fistula-and-
esophageal-atresia-90-P02018