Lesson 1Follow-up planning, reassessment for definitive elective surgery if indicated, and documentation for outpatient handoverExplains how to plan after follow after ulcer cut, recheck need for full choice cut if needed, and make clear note and out papers supporting safe out care in Eritrea.
Scheduling early and long-term surgical follow-upCriteria for considering definitive elective surgeryKey elements of a safe discharge summaryCommunication with primary care and gastroenterologyPatient education for warning signs after dischargeLesson 2Nutrition and mobilization: NPO duration, nasogastric tube indications, timing of enteral feedingAddresses after-cut food and move, including no-food time, nose-gut tube signs, time and path of gut feed, and plans pushing early walk and better heal in Eritrea.
Criteria to discontinue nasogastric decompressionAssessing readiness to start oral intakeStepwise advancement of postoperative dietEnteral versus parenteral nutrition decisionsEarly mobilization and physiotherapy protocolsLesson 3Recognition and management of late complications: fistula, adhesive obstruction, recurrent ulcerationReviews late after-cut issues after ulcer cut, including leak tube, stick block, and repeat ulcer, focusing body spot, check work, and step med, scope, or cut handle in Eritrea.
Clinical features of postoperative enterocutaneous fistulaEvaluation and imaging of adhesive small bowel obstructionManagement of chronic fistula output and nutritionDiagnosis of recurrent ulceration after surgeryEndoscopic and surgical options for recurrent ulcersLesson 4Analgesia plans including multimodal strategies and opioid-sparing optionsPresents mixed after-cut pain plans, stressing area ways, non-strong add, strong-save sets, watch side, and fit pain hold to boost heal and move in Eritrea.
Pain assessment scales and documentationUse of acetaminophen and NSAIDs safelyRegional blocks and epidural analgesia optionsAdjuvant agents such as gabapentinoidsDesigning opioid-sparing analgesia protocolsLesson 5Immediate postoperative monitoring in PACU/ICU: parameters, frequency, and escalation triggersOutlines planned watch in wake room and care unit after ulcer cut, setting life signs, pain and calm check, watch time, and clear rise triggers, fast help, or move to higher care in Eritrea.
Standard PACU monitoring set and documentationHemodynamic and urine output targets after surgeryRespiratory monitoring and pulse oximetry strategyPain, sedation, and delirium assessment toolsEscalation triggers and rapid response activationLesson 6Early postoperative investigations: labs, radiographs, CT indications for suspected leak or abscessExplains when and how to use labs, X-rays, and CT after ulcer cut to spot leaks or pus early, read main finds, and pick right rise, drain, or re-cut plans in Eritrea.
Baseline and serial postoperative laboratory panelsUse of plain radiographs and contrast swallow studiesCT indications for suspected leak or abscessImaging signs of anastomotic leak and collectionsAlgorithm for escalating from labs to advanced imagingLesson 7Infection prevention and antibiotic stewardship: duration, de-escalation based on culturesReviews infection stop and drug wise use after ulcer cut, covering around-cut stop time, grow-lead down-step, watch fail, and plans to limit fight-back and hard gut bugs in Eritrea.
Appropriate duration of surgical prophylaxisEmpiric therapy for suspected intra-abdominal sepsisCulture collection and interpretation principlesAntibiotic de-escalation and stop criteriaMonitoring for C. difficile and resistant organismsLesson 8Thromboprophylaxis, glycemic control, and wound care best practicesDetails best ways for clot stop, sugar hold, and wound care after ulcer cut, including risk sort, drug and tool steps, sugar aims, and plans to stop wound bugs in Eritrea.
VTE risk assessment and prophylaxis selectionTiming and dosing of pharmacologic anticoagulationMechanical prophylaxis and mobilization protocolsPerioperative glycemic targets and insulin regimensWound dressing choices and infection preventionLesson 9Recognition and management of early complications: leak, intra-abdominal abscess, sepsis, respiratory complicationsCovers spot and handle early issues like join leak, belly pus, infection, and breath events, stressing early warn signs, check paths, revival, and time leak hold in Eritrea.
Clinical red flags for anastomotic leakSepsis bundles and hemodynamic resuscitationDiagnosis and drainage of intra-abdominal abscessPrevention and treatment of postoperative pneumoniaCriteria for reoperation versus percutaneous drainageLesson 10Long-term medical management of peptic ulcer disease: H. pylori testing and eradication, PPI therapy, NSAID avoidance, smoking and alcohol counselingFocuses on long med handle of stomach ulcer ill, including bug test and wipe, acid pill plans, pain drug risk cut, and talk on smoke, drink, and stick to treat in Eritrea.
Indications and methods for H. pylori testingStandard and rescue H. pylori eradication regimensOptimizing PPI dosing and tapering strategiesManaging NSAID and antiplatelet exposureLifestyle counseling on smoking and alcohol
