Obesity

Question 1

What are waist circumference concerns

Answer 1

males >=40

females >= 35

Question 2

What are shape types

Answer 2

Apple
- higher CV risk and comorbidities
Pear

Question 3

What are obesity surgery options

Answer 3

malabsorption
- biliopancreatic diversion/duodenal switch

restriction

• Gastric sleeve
• gastric adjustable band

Malabsorptive and restrictive
- gastric bypass (roux-en-y) = gold standard

Question 4

what amount of weight loss is beneficial to reduce risk factors in obese patients

Answer 4

5-15%

Question 5

What does obesity do to the body

Answer 5

causes chronic inflammation

as weight increases, inflammation increases

Question 6

What are most common health problems associated with obesity

Answer 6

diabetes
gall bladder dx
HTN
dyslipidemia
Insulin resistance
breathlessness
sleep apnea

Question 7

What medical co-morbidities can obesity surgery resolve

Answer 7

DM2
HTN
hypercholesterolemia
GERD
Sleep apnea

Question 8

What diabetes candidates are best choices for obesity surgery

Answer 8

DM < 10 years and within 3 yrs diagnosis
pre-diabetic
remaining B-cell function
BMI > 30

Question 9

What is required for person to get surgery for obesity

Answer 9

endocrine cause obesity treated
no drug/alcohol issue
non-smoker
psychological conditions controlled

Question 10

complications Roux-en-Y surgery

Answer 10

Leak
DVT
Bleed
Death

Question 11

Complications sleeve gastroectomy

Answer 11

Leak
Bleed
Death
worsen GERD

Question 12

complications gastric band

Answer 12

Bleed
band erosion
slippage
death
GERD

Question 13

What are post op obesity surgery conditions

Answer 13

diet

• one cup food per meal
• high protein
• no liquids during meal
• no liquid calories

Restrictions

• NSAIDS
• smoking
• caffeine
• 2 forms birth control

Symptoms:
hair loss
excess skin
intertrigo
Cold
dehydration
GERD/swallowing difficulties

Vitamins:
Ca + vit D tid
MVI with iron 2 po qhs
Vit D 2000 IU qd
B12 1000 mcg SL

Lab work:
CBC
B12
Iron studies
Vit D
PTH