Bariatric Procedures

Question 1

Gastric bypass procedure is ___ effective for weight control as the malabsoptive jejunoileal bypass

Answer 1

as

Question 2

Jejunoileal bypass is associated with a substantial incidence of early ___ and late ___ complications

Answer 2

early: acute cirrhosis, electrolyte imbalance, and fulminant diarrhea; late: cirrhosis, interstitial nephritis, arthritis, enteritis, nephrocalcinosis, and recurrent oxalate renal stones

Question 3

Horizontal gastroplasties yield __ results than gastric bypass procedures

Answer 3

poorer

Question 4

Maintenance of successful weight loss after GBP appears to continue for as long as

Answer 4

14 years after operation

Question 5

It is estimated gastric bypass will fail in

Answer 5

10 to 15% of patients because of frequent nibbling on high-fat snacks requiring a restrictive and malabsorptive procedure

Question 6

Biliopancreatic bypass originally involved

Answer 6

a hemigastrectomy and anastomosis of the distal 250 cm of the intestine to the stomach; the bypassed small intestine is reanastomosed to the ileum 50 cm from the ileocecal valve

Question 7

Biliopancreatic bypass with duodenal switch is a variant in which a

Answer 7

sleeve gastrectomy is performed with the pylorus left intact and an ileal Roux limb is brought up for anastomosis to the proximal duodenum

Question 8

Biliopancreatic bypass is associated with

Answer 8

deficiencies of fat-soluble vitamins, osteoporosis, and malnutrition

Question 9

Complications of Vertical Band Gastroplasty (VBG) include

Answer 9

erosion of mesh used to restrict the gastroplasty stoma into the gastric lumen, enlargement of the gastric lumen, stomal stenosis, reflux esophagitis, and mild vitamin deficiencies