44: Obesity Treatments - Perry

Question 1

guidelines for use of obesity medications

Answer 1

BMI greater than 30 without comorbid conditons

BMI greater than 27 with comorbid conditions

body fat greater than 30% for women, greater than 25 for men without comorbid conditions

take into account previous unsuccessful attempts with conventional therapies

Question 2

max weight loss with medications

Answer 2

10-20

Question 3

MOA orlistat (xenical, alli)

Answer 3

lipase inhibitor (Decrease fat absorption)

must follow a low fat diet

Question 4

short term weight loss drug

Answer 4

phentermine

up to 12 sks use

loses it s appetite suppressing effects after the body adjusts to drug

Question 5

guidelines of surgical therapy of morbid obesity

Answer 5

BMI greater than 40 or greater than 35 with significant comorbidities

PCP diet
psychological ready
free of disordered eating
no drug or alcohol abuse

Question 6

purely restrictive bariatric surgeries

Answer 6

gastric adjustable banding (a band place at top of stomach)

vertical sleeve gastrectomy (make stomach into long narrow sleeve by removing 2/3 of it)

Question 7

malabsorptive and restrictive bariatric surgery

Answer 7

roux-e-Y gastric bypass (jejunum connected to small pouch bypassing stomach and duodenum)

Question 8

lap band vs. lap sleeve

Answer 8

lap sleeve more estimated weight loss

Question 9

lap sleeve vs. gastric bypass

Answer 9

bypass has greater estimated weight loss but sleeve has half the complication rate

Question 10

most effective tx for severe obesity

Answer 10

bariatric surgery