Stomach_Morbid_Obesity

Question 1

Indications for bariatric surgery

Answer 1

BMI _ 40, BMI 35-40 with significant obesity-related comorbidities unsuccessful non-op weight loss, clearance by mental health/dietician, no medical contraindications

Question 2

When are open bariatric procedure favored over laparoscopic procedures?

Answer 2

BMI _ 70, prior surgeries,

Question 3

For a Roux-en-Y gastric bypass the jejunum is divided X distal to the ligament of Treitz

Answer 3

X= 40 cm

Question 4

In a Roux-en-Y gastri bypass, the biliopancreatic jejunal limb is anastomosted to the distal segment of jejunum at X cm from division

Answer 4

X= 75-100 cm

Question 5

The gastric pouch in a Roux-en-Y gastric bypass hold what volume

Answer 5

20 mL

Question 6

The lap duodenal switch with biliopancreatic diversion has how many cm of common channel?

Answer 6

100 cm.

Question 7

What is the follow-up time period for bariatric surgery?

Answer 7

3, 6, 12, 18, 24 months

Question 8

What are the weight loss averages for gastric bypass and duodenal switch?

Answer 8

70-80% of excess body weight

Question 9

What are the weight loss averages for the gastric band and sleeve gastrectomy?

Answer 9

40-50% excess body weight

Question 10

What % of patients who undergo bariatric surgery will have complete remision of diabetes?

Answer 10

70-80% for gastric bypass/duodenal switch; 50-60% for gastric band/sleeve gastrectomy

Question 11

What are the main causes of bariatric surgery post-op death?

Answer 11

PE and sepsis from anastomotic leak

Question 12

What nutritional deficiencies are seen within the 1st year of bariatric surgery?

Answer 12

Vit B12, Ca, Fe, Vit D and protein deficiencies