Surgery - Bariatric Flashcards
1
Q
Referral criteria for bariatric surgery
A
BMI 40+
BMI 35-40 and a condition that may improve if weight was lost
-DM
-HTN
Lifestyle changes have not led to a maintained weight
BMI 50+ - surgery may be 1st line
2
Q
Options for bariatric surgery
A
Restrictive options
1st line in BMI 30-39 - Laparoscopic adjustable gastric banding
-less weight loss but fewer complications
Sleeve gastrectomy - reduce stomach size to 15%
Intragastric balloon - left in stomach for max 6 months
-when surgery is not suitable
Malabsorptive options - for BMI 60+
Biliopancreatic diversion with duodenal switch
Mixed options
Roux en Y gastric bypass
