Bariatric Surgery

Question 1

def

Answer 1

a procedure for people with obesity
1 gastric band
-inflatable silicone device is placed around the top portion of the stomach
-intended to slow consumption of food and thus reduce amount of food consumed
2 sleeve gastrectomy
-stomach is reduced to 15% of its original size by removal of a large portion of the stomach along the greater curvature
3 gastric bypass
-stomach is divided into an upper pouch and a larger lower pouch, the small intestine it rearrange to connect to both
-food enters small upper pouch

Question 2

indications

Answer 2

severe obesity, where lifestyle measures+/medical therapy have been ineffective
BMI >40kg/m2
BMI 35-40 + HTN, T2DM, heart disease

Question 3

contraindications

Answer 3

inflammatory bowel disease
chronic pancreatitis
cirrhosis
drug or alcohol abuse
psychiatric illness

Question 4

complications

Answer 4

SHORT-TERM
general
-bleeding
-infection
-DVT/PE
specific
-gastric band slippage, migration, erosion
-dumping syndrome
-internal herniation
LONG-TERM
-anastomotic stenosis
-ulceration
-internal herniation
-gallstones
-malabsorption or nutritional deficiencies

Question 5

what is dumping syndrome

Answer 5

rapid gastric emptying

food, especially sugar moves through the small bowel to quickly