Nursing care of the patient with Hypertrophic pyloric and Duodenal stenosis who receive Gastrojejunostomy: A case study

Abstract

     This study is a case study. The objective was to study the problems and nursing care of the patient with Hypertrophic pyloric and Duodenal stenosis who receive Gastrojejunostomy. This patient is a 44-year-old male with a history of illness of 6 years ago, there was a history of duodenal ulcer disease, and 2 months before that, he went to see the doctor with abdominal pain and distension. The doctor had an Esophago- gastroduodenoscopy and found a Pyloric stenosis and sent a piece of tissue for examination The result is gastroduodenitis with ulcer and Helicobacter pylori.
     This study found that an important problem during care is dehydration, an imbalance of potassium, calcium, magnesium, and phosphorus, azotemia, anxiety, complications of surgery including common bile duct and pancreatic duct injury, and lack of knowledge about how to behave after surgery when he goes back home. The result of nursing care is that all problems have been resolved. As for problems that have risks or opportunities to occur, they include nutrition deficiencies, aspiration of food scraps with gastric juice into the lungs, massive bleeding during surgery, complications after Distal gastrectomy, Choledochojejunostomy, Gastrojejunostomy, and Pancreatojejunostomy. These complications are protection, monitoring, and surveillance so that every complication does not happen.