Birateric 🦆

Question 1

What is the indication for Bariatric surgery ?

Answer 1

🟡The indication are :
1. BMI 40 or more
2. BMI 35-39 + Comorbid disease
3. BMI 30-34 + DM or Metabolic syndrome.

Question 2

Patient came 3 days after roux-en Y surgery complaining of fever, chills and
left shoulder pain. Best diagnostic investigation?
A) CT with contrast
B) Endoscopy
C) Laparoscopy
D) Exploratory laparotomy

Answer 2

CT with contrast ✅💛

Dx Gastric leak

Question 3

patient 3 days post sleeve gastrectomy, he
is presented with mild RUQ pain, upon
examination there was mild tenderness with
no signs of peritonitis vitals: BP:100/80
HR:133 what is the cause?
A- gastric leakage
B- sepsis
C- decreased oral hydration
D- inadequate analgesia

Answer 3

gastric leakage

Note :
Any tachycardia pt early post op consider it

Question 4

What’s the most important factor in weight loss
A- surgery
B- lifestyle
C- excessive exercise
D- stop carbohydrates( not decrease)

Answer 4

lifestyle ✅💛

Question 5

20 September

Morbidly obese man with hiatal hernia and GERD grade 3, what’s the best procedure?
A. Ring
B. Sleeve gastrectomy
C. Roux en Y gastric bypass
D. balloon

Answer 5

Roux en Y gastric bypass 💛✅

Question 6

Patient after bariatric surgery presented to you with fever and mild abdominal pain, on examination you found abd tenderness, HR: 116, BP: normal.
What is the possible cause for this presentation:
A. Dehydration
B. Leak
C. Inadequate analgesia

Answer 6

Leak ✅💛