Bariatric surgery

Question 1

at what BMI is bariatric surgery offered?

Answer 1

> 40

or > 35 if you have a co-morbdity such as diabetes

Question 2

what are the 3 main bariatric surgerys?

Answer 2

laparoscopic adjustable gastric banding
laparoscopic sleeve gastrectomy
laparoscopic gastric bypass

Question 3

what are the complicatons of bariatric surgery?

Answer 3

anastomotic leak
DVT / PE
malnutrition
infection
vitamin/mineral deficiencies 
hair loss
excess skin

Question 4

what are the advantages and disavantages of gastric banding?

Answer 4

relatively minor surgery
reversible ad adjustable
but requires an implanted medical device,is easier to ‘cheat’ and risk of prolapse or slippage

Question 5

what are the advantages and disadvantages of a sleeve gastrectomy?

Answer 5

advantages = no 'dumping syndrome'or small bowel manipulation
disadvantages = more invasive surgery, long staple line (bleeding/leak)

Question 6

what are the advantages and disadvantages of a gastric bypass?

Answer 6

advantages is that its quick and has dramatic weight loss

but its invasive surgery and malaborption components means life long supplements