Lesson 1Follow-up planning, reassessment for definitive elective surgery if indicated, and documentation for outpatient handoverThis part explains how to plan follow-up after ulcer surgery, recheck need for full planned procedures, and make clear records and discharge notes that 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 feedingThis part deals with after-surgery food and movement, including no-food time, nose-stomach tube reasons, timing and way of gut feeding, and plans that 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 ulcerationThis part reviews late after-surgery problems after ulcer operation, like fistula, sticky block, and repeat ulcers, focusing on clinical spotting, diagnostic checks, and step-by-step medical, scope, or surgery care.
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 optionsThis part shows mixed after-surgery pain plans, stressing area techniques, non-opioid adds, low-opioid setups, watching side effects, and fitting 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 triggersThis part outlines planned watching in recovery and ICU after ulcer surgery, defining vital measures, pain and calm checks, watching times, 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 abscessThis part explains when and how to use labs, X-rays, and CT after ulcer surgery to spot leaks or pockets early, read key findings, 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 culturesThis part reviews germ prevention and antibiotic wise use after ulcer surgery, covering around-surgery prevention time, culture-led step-down, watching for failure, and ways to limit 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 practicesThis part details best ways for clot prevention, blood sugar control, and wound care after ulcer surgery, including risk sorting, drug and machine measures, sugar goals, and plans to stop wound germs.
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 complicationsThis part covers spotting and handling early problems like join leak, belly pocket, sepsis, and breathing issues, stressing early warning signs, diagnostic paths, revival, 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 counselingThis part focuses on long-term medical care of peptic ulcer illness, including H. pylori tests and removal, PPI plans, NSAID risk cut, and advice on smoking, drink, 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
