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Flashcards in Upper GI Surgery Deck (16)
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1
Q

What are the side effects of laparoscopic hiatus hernia repair?

A
  • Dysphagia
  • Difficulty to belch and vomit
  • Gas bloating
  • Excess flatulence
  • Diarrhoea
2
Q

What is bariatric surgery?

A

Refers to all surgical procedures utilised to achieve reduction of excess weight

3
Q

What are the three types of bariatric surgery?

A

Restrictive
Malabsorptive
Combination

4
Q

Describe purpose of restrictive bariatric surgery

A

Decrease size of stomach leading to satiety with smaller volumes of food hat eventually leads to food intolerance and weight loss

5
Q

Name types of restrictive bariatric surgery

A
  • Synthetic gastric band
  • Stapling
  • Size reduction by ‘sleeve gastrectomy’
6
Q

Describe purpose of malabsorptive bariatric surgery

A

Bypassing segments of bowel, which thereby cause malabsorption of nutrients

7
Q

Describe purpose of combination bariatric surgery

A

Involves both aspects of restriction and malabsorption - such as Roux-en-Y bass (considered gold standard)

8
Q

What is the process of Roux-en-Y surgery?

A

Creates stomach pouch out of small portion of the stomach and attaches in directly to the small intestine, bypassing a large part of the stomach and duodenum

9
Q

What are the advantages of laparoscopic adjustable gastric banding?

A
  • Minor surgery
  • Reversible and adjustable
  • Low operative complication rate
  • Mortality 0.1%
10
Q

What are the disadvantages of laparoscopic adjustable gastric banding?

A
  • Requires implanted medical device
  • Risk of prolapse or slippage
  • 15% require revisional surgery
11
Q

What are the advantages of a laparoscopic gastric bypass?

A
  • Quick and dramatic weight loss

* Dumping syndrome

12
Q

What are the disadvantages of a laparoscopic gastric bypass?

A
  • More invasive surgery
  • Malabsorption component requires lifelong supplements
  • More complex if requires revision
  • Mortality 0.5%
13
Q

What is a laparoscopic sleeve gastrectomy?

A

Partial gastrectomy which results in the removal of the stomach, with the remainder looking like a ‘banana’

Reduced size inhibits distension of the stomach so that it becomes fuller sooner, thereby increasing the patients feeling of fullness and decreasing appetite

14
Q

What are the advantages of a laparoscopic sleeve gastrectomy?

A
  • Good medium-term outcomes
  • No dumping syndrome
  • No small bowel manipulation
  • No foreign body
15
Q

What are the disadvantages of a laparoscopic sleeve gastrectomy?

A
  • More invasive surgery
  • Long staple line
  • Mortality 0.4%
16
Q

What are the possible complications of a laparoscopic sleeve gastrectomy?

A
  • Anastmotic leak
  • DVT/PE
  • Infection
  • Malnutrition
  • Vitamin and mineral deficiencies
  • Hair loss
  • Excess skin