Lesson 1Follow-up plan, recheck for full choice surgery if needed, and records for out-patient passThis part explains how to plan follow-up after ulcer surgery, recheck need for full choice steps, and make clear records and leave sums that help safe out-patient care go on.
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 2Food and move: no food time, nose-stomach tube signs, time for gut feedingThis part deals with after-surgery food and move, including no food time, nose-stomach tube signs, time and way of gut feeding, and plans that push early walk and better get well.
Criteria to discontinue nasogastric decompressionAssessing readiness to start oral intakeStepwise advancement of postoperative dietEnteral versus parenteral nutrition decisionsEarly mobilization and physiotherapy protocolsLesson 3Spot and handle late problems: leak path, stick block, repeat ulcerThis part looks at late after-surgery problems after ulcer surgery, including leak path, stick block, and repeat ulcer, focusing on clinic spot, diagnosis check, and step by step med, scope, or surgery handle.
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 4Pain plans with mixed ways and less opioid picksThis part shows mixed after-surgery pain plans, stressing area ways, non-opioid adds, less opioid plans, watch for side effects, and fit pain control to better get well and move.
Pain assessment scales and documentationUse of acetaminophen and NSAIDs safelyRegional blocks and epidural analgesia optionsAdjuvant agents such as gabapentinoidsDesigning opioid-sparing analgesia protocolsLesson 5Right after watch in recovery/ICU: measures, how often, and step up signsThis part outlines planned watch in recovery and ICU after ulcer surgery, setting vital measures, pain and calm check, watch how often, and clear signs for step up, quick help call, or move to higher care.
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 after checks: labs, x-rays, CT signs for suspected leak or pus pocketThis part explains when and how to use labs, x-rays, and CT after ulcer surgery to spot leaks or pus pockets early, read key findings, and pick right step up, drain, or re-do surgery plans.
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 stop and antibiotic wise use: time, step down based on culturesThis part looks at infection stop and antibiotic wise use after ulcer surgery, covering around-surgery stop time, culture-led step down, watch for fail, and ways to limit bug fight and gut bug overgrowth.
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 8Blood clot stop, sugar control, and wound care best waysThis part details best ways for blood clot stop, sugar control, and wound care after ulcer surgery, including risk sort, drug and machine measures, sugar goals, and ways to stop wound infection.
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 9Spot and handle early problems: leak, belly pus pocket, sepsis, breathing problemsThis part covers spot and handle early problems like join leak, belly pus pocket, sepsis, and breathing events, stressing early warning signs, diagnosis paths, bring back to life, and timely source control.
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 med handle of peptic ulcer illness: H. pylori test and clear, PPI med, painkiller avoid, smoke and drink adviceThis part focuses on long-term med handle of peptic ulcer illness, including H. pylori test and clear, PPI plans, painkiller risk cut, and advice on smoke, drink, and stick to med.
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
