Lecture 10 Role of Bariatric Surgery in the Management of Obesity and its Impact on Obesity Related Comorbidities

Question 1

What are benefits of Bariatric surgery

Answer 1

• Diabetes remission
• Reduced MI and stroke events
• Reduced risk of cancer
• Reduced mortality

Question 2

What types of bariatric surgeries are there

Answer 2

• Laparoscopic Sleeve Gastrectomy
• Laparoscopic Gastric Bypass
• Intra-gastric Balloon

Question 3

What are the advantages of intra-gastric balloon

Answer 3

• Non-operative weight loss option
• Removable
• BMI 27-50

Question 4

What are the disadvantages of intra-gastric balloon

Answer 4

• Potential weight regain after removal

* CI: large hiatus hernia, PUD, anticoagulation

Question 5

What BMI would qualify you for bariatric surgery

Answer 5

35-39.9- Obese (II)

40 + Morbidly obese (III)

Question 6

Name MDT team involved in bariatric surgery

Answer 6

• Bariatric Physician
• Education programme
• Psychologist
• Surgeon
• Operation
• Follow up

Question 7

Nutritional supplements required for sleeve gastrectomy and gastric bypass

Answer 7

Multivitamin
Iron
Folate
Vitamin B12
Calcium
Bitamin D
Zinc and Copper
Selenium

Question 8

Blood test required for sleeve gastrectomy and gastric bypass

Answer 8

Liver tests
FBC
Ferritin
Folate
Vitamin B12
Calcium
Vitamin D
PTH
Vitamin A (possibly for gastric bypass)
Zinc, copper (possibly for sleeve)