FAT PEOPLE

Question 1

In roux-en-Y, where should you divide jejunum?

Answer 1

30-50 cm from ligament of treitz

Question 2

How long should roux limb be in gastric bypass?

Answer 2

100-150 cm. (100 cm for smaller fat people, 150 for the big ones)

Question 3

Early dumping syndrome

Answer 3

30 minutes after eating – hyper osmotic load to duodenum and absence of pylorus

Question 4

Late dumping syndrome

Answer 4

2-3 hours after eating – hypoglycemia. This is because you have a huge insulin release after the food bolus enters the duodenum.