Certified Neuroscience Registered Nurse (CNRN) Practice Exam

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What is the procedure called that redirects the ileum through the abdominal wall after a proctocolectomy?

  1. Ileostomy

  2. Colonoscopy

  3. Gastrostomy

  4. Herniorrhaphy

The correct answer is: Ileostomy

The procedure that redirects the ileum through the abdominal wall after a proctocolectomy is known as an ileostomy. In this surgical procedure, the end of the ileum, which is the last part of the small intestine, is brought out to the abdominal surface to create a stoma. This allows for the excretion of waste outside of the body when the colon has been removed or cannot function properly. An ileostomy is typically performed after a proctocolectomy, which involves the removal of the rectum and part or all of the colon, often due to conditions such as inflammatory bowel disease or colorectal cancer. The stoma facilitates the elimination of digestive waste directly from the intestine, bypassing the removed sections of the gastrointestinal tract. The other procedures listed serve different purposes. Colonoscopy is a diagnostic procedure to view the colon, gastrostomy refers to the creation of an opening in the stomach for feeding, and herniorrhaphy involves repairing a hernia. These procedures do not redirect the ileum or have a similar surgical intent as an ileostomy.