OBESITY Flashcards
(20 cards)
Side effects of vagal blocking
Hoarseness, cough, nausea, and throat pain (typically mild and temporary)
Type of Vagal Nerve Blocking involving external stimulation of the vagus nerve through the ear
Transcutaneous Vagus Nerve Stimulation (tVNS)
NONSURGICAL INTERVENTIONS FOR OBESITY
- Vagal Nerve Blocking
- Intragastric Balloon Therapy
- Bariatric Embolization
Type of Vagal Nerve Blocking a device is surgically placed, typically under the skin of the chest, and connected to electrodes on the vagus nerve
Implanted Device
A saline-filled silicone balloon is placed endoscopically (through the mouth) into the stomach
Intragastric Balloon Therapy (promotes a feeling of fullness and limiting food intake.)
duration of the balloons are usually removed in Intragastric Balloon Therapy
3-6 months
A minimally invasive procedure in which an interventional radiologist uses imaging guidance to deliver embolic agents (particles that block blood vessels) to specific arteries supplying the stomach
Bariatric Embolization
Goal of Bariatric Embolization
To reduce blood flow to areas of the stomach that produce hunger hormones, potentially leading to decreased appetite.
Average weight loss after bariatric is ? of previous body weight
25-35%
Considered the “gold standard” of bariatric procedures.
Roux-en-Y Gastric Bypass (RYGB)
A silicone band is placed around the upper part of the stomach, creating a small pouch.
Gastric Banding (Laparoscopic Adjustable Gastric Banding - LAGB)
Removes a large portion of the stomach, leaving a banana-shaped “sleeve.”
Sleeve Gastrectomy (Vertical Sleeve Gastrectomy - VSG)
A two-part procedure:
1. Sleeve gastrectomyis performed.
2. A large portion of the small intestine is bypassed, drastically reducing calorie and nutrient absorption
Biliopancreatic Diversion with Duodenal Switch (BPD/DS)
Pouch Capacity of BPD/DS
100-200 ml
Pouch Capacity of gastric banding
10-15 ml
Pouch Capacity of roux-en-y
20-30 ml
OBESITY BMI
30 MG/M2
CAUSES OF OBESITY
Behavioral
Environmental
Physiologic
Genetic
BMI OF Overweight
25 to 29.9
BMI OF Obese
exceeding 30