Exam # 1 Review Surgical and Pharmaceutical Treatment of Obesity

Question 1

How much protein should be consumed per meal to optimize synthesis of muscle proteins?

Answer 1

30g of high quality proteins.

Question 2

Off-label use

Answer 2

A physician using a drug for a treatment it wasn’t designed to treat.

Question 3

Roux-en Y gastric bypass procedure

Answer 3

1) Decreases the size of the stomach 5% (Section off stomach and bring small intestine up) 2) Y - limits length of bowel exposed to nutrients (Food enters one side of the Y, and digestive juices enter the other side of the Y)

Question 4

Biliopancreatic Diversion With Duodenal Switch (BPD-DS)

Answer 4

1) Only for the severely obese BMI greater than or equal to 50. 75% of the stomach bypassed 75% of GI tract by-passed. Duodenum attached to distal ileum (modification of sleeve gastrectomy and roux en-y combined). 2) Reduces fat consumption by 70% 3) Higher risk of nutritional and vitamin and mineral deficiencies because of large amount of intestinal system bypassed.

Question 5

Restrictive Bariatric Surgery

Answer 5

Adjustable Gastric Banding, Vertical Banded Gastroplasty, Sleeve Gastrectomy.

Question 6

Restrictive and malabsorptive Bariatric Surgery

Answer 6

Roux-en-y gastric bypass and Biliopancreatic diversion with duodenal switch