Role of Bariatric Surgery in the Management of Obesity and its Impact on Obesity Related Comorbidities Flashcards
What are the consequences of obesity?
Consequences of obesity
Metabolic syndrome:
- Heart disease
- Hypertension
- Type II diabetes
- Lipid problems
- NAFLD
- Dementia
- Cancer
- Polycystic ovarian syndrome
What risks may follow bariatric surgery?
Risks that follow bariatric surgery:
- Diabetes remission
- MI
- Stroke
- Cancer
- Mortality
State some types of bariatric surgeries
- Gastric band (silicone band around the top of the stomach creates a pre-stomach pouch which served as a new smaller stomach)
- Laparoscopic sleeve gastrectomy (division of the stomach vertically therefore reducing its size. The pyloric valve at the bottom is left intact so function and digestion are unaltered)
- Laparoscopic gastric bypass (a portion of the jejunum is attached to a small stomach pouch to allow food to bypass the distal stomach, duodenum and proximal jejunum)
How does an intra-gastric balloon work for weight loss?
Intra-gastric balloon:
This involves placing a saline-filled silicone balloon in your stomach. This helps you lose weight by limiting how much you can eat and making you feel fuller faster.
(words NOT from the lecture)
What are the advantages of having an intra-gastric balloon?
Intra-gastric balloon ADVANTAGES:
- Non-operative weight loss option
- Removal
- For those with a BMI 27-50
What are the disadvantages of having an intra-gastric balloon?
Intra-gastric balloon DISADVANTAGES:
- Potential weight regain after removal
- CI: Large hiatus hernia, PUD, anticoagulation
Look at this!
Who forms part of the MDT for patients trying to lose weight?
MDT for weight loss patients:
- Gastroenterologist
- Surgeon
- Radiologist
- Dietician
- Psychologist
- Bariatric specialist nurse
- Anaesthetist
What are the common problems following weight loss surgery?
