Bariatric surgery Flashcards

1
Q

what is the body shape which is associated with highest visceral fat?

A

apple shape

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2
Q

what risk is associated with apple shape body?

A

higher risk of weight-related health problems

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3
Q

what are some examples of co-morbidities that obesity may lead to?

A
  • CVD
  • stroke
  • cataracts
  • pulmonary disease
  • diabetes
  • cancer
  • hypertension
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4
Q

what are the 3 main bariatric surgery options?

A
  • restrictive
  • malabsorptive
  • combination of both
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5
Q

what are the 3 main surgical options?

A
  • laparoscopic adjustable gastric banding
  • laparoscopic sleeve gastrectomy
  • laparoscopic gastric bypass
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6
Q

what is laparoscopic adjustable gastric banding?

A

The surgeon places a band around the upper part of your stomach to create a small pouch to hold food. The band limits the amount of food you can eat by making you feel full after eating small amounts of food

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7
Q

advantages of adjustable gastric banding?

A
  • Relatively minor surgery
  • Reversible and adjustable
  • Low operative complication rate
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8
Q

disadvantages of adjustable gastric banding?

A
  • Requires an implanted medical device
  • Easier to ‘cheat’
  • Risk of prolapse /slippage
  • 15% require revisional surgery
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9
Q

what is laparoscopic sleeve gastrectomy?

A

Procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach along the greater curvature

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10
Q

advantages of laparoscopic sleeve gastrectomy?

A
  • good medium- term outcomes
  • no small bowel manipulation
  • no foreign body
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11
Q

disadvantages of laparoscopic sleeve gastrectomy?

A
  • more invasive surgery
  • long staple line = bleeding/leak
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12
Q

what is laparoscopic gastric bypass?

A

a small stomach pouch is created to restrict food intake. a y-shaped section of the small intestine is then attached to the pouch to allow food to bypass the lower stomach, the duodenum and first portion of the jejunum

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13
Q

advantage of gastric bypass?

A

quick and dramatic weight loss

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14
Q

disadvantages of gastric bypass?

A
  • more invasive surgery
  • malabsorptive component requires lifelong supplements
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15
Q

complications of gastric surgery?

A
  • anastomotic leak
  • DVT/PE
  • infection
  • malnutrition
  • hair loss
  • excess skin
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16
Q

what hormonal factors play into account with gastric surgery?

A

Ghrelin is produced by fundus and upper part of stomach, so with removal of it, you suppress appetite

17
Q

what is the effect of gastric bypass?

A

reduces absorption of nutrients = reduces calorie intake