Bariatrics Flashcards
1
Q
Laprascopic v open
A
- Lap preferred always
- Reason for converting: Issues with pneumoperitoneum, excessive adhesions, hepatomegaly, intraop hemorrhage, large hernia
2
Q
Post-op f/u
A
- Monitor eating habits, diet advice
- Vitamin monitoring for malabsorp
- Anemia
- Slowly advance diet
3
Q
Indications
A
- BMI > 40 w or w/o comorbid conditions
- BMI 35-40 w comorbid conditions
- Failed medical mgmt, psych stable
4
Q
Contraindications
A
- Psych issues, substance abuse
- Eating disorder
- Poor surgical candidate
5
Q
Pre- op assessment
A
- Anesthesia- Altered pharmkinetics, airways, OSA, veins
- Psych, nutrition eval
- EGD if GERD for barrett
- OSA sleepiness scale
- US liver, gallbladder
ABGs - Thyroid fxn
6
Q
Lap band
A
- Restrictive
- Band around prox stomach limiting intake
- Least invasive
- Ok outcomes
7
Q
Roux en y
A
- Malabsorpative & restrictive
- Small gastric pouch, proximal jejunum
- Bypass stomach, duodenum
- Best outcomes- wt loss results
8
Q
Gastric sleeve
A
- Smaller stomach
- Malabsorb (less than ReY) and restrictive
- 2nd best wt loss results
