9. Obesity

Question 1

Refer to the bariatric surgeon if the BMI is at least _______or BMI is ____ to_____and are suffering from at least ______serious related health problems.

Answer 1

40

35 to 39.9

Two

Question 2

What is a restrictive procedure?

Answer 2

Reduces how much the stomach can hold

Question 3

What is a malabsorption procedure?

Answer 3

Shortens the digestive track

Question 4

What is the “gold standard” of weight loss surgery?

Answer 4

Roux-en-Y Gastric Bypass

Question 5

What is the most significant outcome of the Roux-en-Y gastric bypass?

Answer 5

Significantly affects blood glucose control

*also causes changes in the gut hormones that promote satiety and suppress hunger

Question 6

Roux-en-Y Gastric bypass can cause _______% weight loss.

Answer 6

60-80

Question 7

What kind of needle must be used for an adjustable gastric band?

Answer 7

Non-coring needle (HUBER)

Question 8

A post op gastric bypass pt. ate a piece of cake which caused cramping, diarrhea, and nausea. What is this called?

Answer 8

Dumping Syndrome

Question 9

In this procedure, 80% of the stomach is removed.

Answer 9

Sleeve Gastrectomy

* Does not have the same enzyme issues as Roux-en-Y gastric bypass

Question 10

This gastric procedure has the highest rate of re-operation.

Answer 10

Adjustable Gastric Band

Question 11

Diet for two weeks after surgery.

Answer 11

Liquid

Question 12

How much calorie free fluids/day should pt’s get after surgery?

Answer 12

64 oz

Question 13

Protein/day goal post bariatric surgery.

Answer 13

60g

Question 14

Is Roux-en-Y restrictive, combined, or malabsportive?

Answer 14

combined

Question 15

Is the sleeve gastrectomy restrictive, combined, or malabsorportive?

Answer 15

Restrictive only

Question 16

Is the adjustable gastric band restrictive, combined, or malabsorptive?

Answer 16

Restrictive