Lesson 1Follow-up planning, reassessment for definitive elective surgery if indicated, and documentation for outpatient handoverExplains planning follow-ups after ulcer surgery, re-checking needs for planned full procedures, and making clear records and discharge notes for smooth outpatient care continuation.
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-surgery nutrition and movement, including no-food-by-mouth time, nose-to-stomach tube reasons, timing and way of gut feeding, and plans to encourage early walking and better recovery.
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 later after-surgery issues after ulcer operations, like fistulas, scar blockages, and returning ulcers, focusing on clinical spotting, diagnostic checks, and step-by-step medical, scope, or surgical handling.
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 combined after-surgery pain plans, stressing area techniques, non-opioid helpers, low-opioid regimens, watching side effects, and customising pain control to boost recovery and movement.
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 watching in recovery and ICU after ulcer surgery, defining vital measures, pain and calm checks, watching frequency, and clear signs for escalation, quick response, or higher care transfer.
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 surgery to find leaks or abscesses early, read key signs, and pick right escalation, draining, or re-operation 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 prevention and antibiotic stewardship: duration, de-escalation based on culturesReviews stopping infections and wise antibiotic use after ulcer surgery, covering around-surgery prevention length, culture-based step-down, watching for failures, and ways to cut resistance and gut bugs.
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 top practices for clot prevention, blood sugar control, and wound care after ulcer surgery, including risk sorting, drug and mechanical steps, sugar goals, and ways to stop wound infections.
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 spotting and handling early issues like join leaks, belly abscesses, sepsis, and breathing problems, stressing early warnings, diagnostic paths, resuscitation, and quick 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 medical management of peptic ulcer disease: H. pylori testing and eradication, PPI therapy, NSAID avoidance, smoking and alcohol counselingFocuses on long-term medical handling of peptic ulcer disease, including testing and clearing H. pylori, PPI plans, reducing NSAID risks, and advice on smoking, drinking, and sticking to treatment.
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
