bariatric article

Question 1

mixed restrictive-malabsorptive procedures:

Answer 1

RYGB and BPD

Question 2

most common malabsorptive procedure?

Answer 2

RYGB

Question 3

how does obesity predispose ppl to micronutrient deficiency?

Answer 3

expanded adipose tissue, greater volume of distribution, low grade inflammation–>^ ox stress, altered nutr transporters, ^ antiox nutr utilization, poor diet quality, pre-operative wt loss associated with reduced micronutrient intake

Question 4

obesity adversely affects these micronutrients:

Answer 4

vit D, A, C, K, B6, iron, selenium, folate

Question 5

pt related variables to micronutrient deficiencies post surgery

Answer 5

substance abuse, nonadherence to diet/supplements

Question 6

surgery related micronutrient deficiencies classified into:

Answer 6

restrictive, malabsorptive

Question 7

restrictive surgery related micro deficiencies?

Answer 7

early satiety, hormone changes, gastric reflux

Question 8

malabsorptive surgery related micro deficiencies?

Answer 8

v IF, dumping syndrome, SIBO, vomiting, reduced common limb mixing and absorption

Question 9

type of Vit K found in plants, type from gut bacteria

Answer 9

(K1) phytanodione; (K2) menaquinones

Question 10

4 phenotypes of thiamine deficiency

Answer 10

neuropsych, high output heart failure, peripheral neuropathy, GI symptoms

Question 11

adequate B12 absorption depends on:

Answer 11

adequate intake, stomach acid, IF, pancreatic proteases, functioning ileum with intact B12-IF receptors

Question 12

serum ____ more sensitive and specific than serum B12

Answer 12

MMA

Question 13

most common micronutrient deficiency after bariatric surgery

Answer 13

iron deficiency

Question 14

symptoms zinc deficiency?

Answer 14

impaired immunity, altered taste, alopecia, dry and brittle hair, poor wound healing

Question 15

zinc supplementation must be done with caution because??

Answer 15

may unmask or worsen copper deficiency

Question 16

coenzyme for variety of metalloenzymes for red and white blood cell production

Answer 16

copper

Question 17

copper deficiency clinically presents same as ___

Answer 17

B12 (except microcytic anemia instead of macro)

Question 18

symptoms of vitamin K deficiency:

Answer 18

easy bruising, bleeding, petechiae

Question 19

most common bariatric procedure

Answer 19

sleeve gastrectomy

Question 20

wt loss achieved and sustained thru these things:

Answer 20

early satiety, malabsorption, change in gut microbiome, bile salt metabolism

Question 21

most common pre surgical deficiency is:

Answer 21

vitamin d