Bariatrics Flashcards
Bariatric co-morbidities
Diabetes Sleep apnea HTN CAD Fungal infections
Android vs Gynoid
Android: apple shape, high risk
Gynoid: pear shape, low risk
Gastric Bypass
Sewn off pouch (1 oz) 1 death per 200-300 sx Blood clots Leaking at staples Hernia Dumping syndrome Vitamin deficiency
PE
1-30 days post sx
Most frequent mortality post gastric bypass
Anastomotic leak post gastric bypass
1-4 wks
Life threatening
Usually within first 75 sx of surgeon
s/s of anastomotic leak
sustained tachycardia fever shoulder pain (left) abdominal pain SOB RR >22 Increased thirst Hypotension
Anastomotic leak treatment
Parenteral nutrition
Antibiotics
Repair
Dumping syndrome initial phase
15-30 min: Nausea Ab cramps Tachycardia Drop in BP Flushing Vomiting Diarrhea
Dumping syndrome: latent phase
Cold sweats Lightheaded/dizzy Shakiness Weakness Hunger Anxiety
Dumping Syndrome
High sugar food is “dumped” into small intestine
Symptoms 2-4 hrs after eating=low blood sugar
Low blood sugar levels
<10 mg/dl=coma
How to treat low blood sugar
15:15 rule
Give 15g carbs, check again in 15 min
Post gastric bypass protocol
Early ambulation
Pulmonary toilet (pulmonary cleansing)
Pain control
Lap band
Laparoscopic adjustable gastric banding
Lap band risks
Band leakage/slippage
Risk of internal infection
Stomach pain (from over eating)
Nutritional defiiencies
Non-compliance
