Lesson 1Follow-up planning, reassessment for definitive elective surgery if indicated, and documentation for outpatient handoverDis part explains how to plan follow-up after ulcer surgery, recheck need for final elective procedures, and make clear writing and discharge summaries wey support safe outside care continuity.
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 feedingDis part talks about after-surgery nutrition and moving, including no-food time, nose-stomach tube when, timing and way of gut feeding, and plans wey promote 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 ulcerationDis part reviews late after-surgery problems after ulcer surgery, including fistula, sticky block, and repeated ulcer, focusing on clinical spotting, diagnostic checks, and step-by-step medical, scope, or surgery management.
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 optionsDis part shows mixed after-surgery pain plans, stressing area techniques, non-opioid adds, opioid-saving regimens, watching for side effects, and fitting pain control to better recovery and moving.
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 triggersDis part outlines structured watching in recovery room and ICU after ulcer surgery, defining vital measures, pain and sleep checks, watching frequency, and clear triggers for escalation, quick response, 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 postoperative investigations: labs, radiographs, CT indications for suspected leak or abscessDis part explains when and how to use labs, X-rays, and CT after ulcer surgery to spot leaks or abscesses early, read key findings, and choose right escalation, draining, or re-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 prevention and antibiotic stewardship: duration, de-escalation based on culturesDis part reviews infection prevention and antibiotic wise use after ulcer surgery, covering around-surgery prophylaxis time, culture-guided step-down, watching for failure, and plans to limit resistance and C. difficile.
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 practicesDis part details best ways for blood clot prevention, sugar control, and wound care after ulcer surgery, including risk sorting, drug and machine measures, sugar targets, and plans 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 9Recognition and management of early complications: leak, intra-abdominal abscess, sepsis, respiratory complicationsDis part covers spotting and managing early problems like join leak, belly abscess, sepsis, and breathing issues, stressing early warning signs, diagnostic paths, resuscitation, 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 medical management of peptic ulcer disease: H. pylori testing and eradication, PPI therapy, NSAID avoidance, smoking and alcohol counselingDis part focuses on long-term medical management of peptic ulcer disease, including H. pylori testing and killing, PPI plans, NSAID risk cut, and counseling on smoking, alcohol, 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
