Surgical Management Of Obesity Flashcards
What patients are eligible for bariatric surgery?
- Those with BMI > 40 kg/m2
- Those with a BMI of 35-39 kg/m2 with obesity related comorbidities
What are the 3 types of bariatric surgeries?
- Restrictive
- Malabsorptive
- Both (Roux-en-Y gastric bypass)
What type of surgery is lab banding?
Gastric banding
Which restrictive surgery is more invasive?
Sleeve gastrectomy
True or false: impact on medications is minimal in restrictive surgeries?
True
What surgery produces the greatest and most rapid weight loss but has the most severe complications?
Malabsorptive surgeries
What are 2 things that are deficient when it comes to malabsorptive therapies?
- Nutrients
- Vitamins
What is the gold standard surgical technique for bariatric surgery?
Roux-en-Y gastric bypass
What surgery has the most impact on medications?
Roux-en-Y gastric bypass
What are 5 reasons that Roux-en-Y gastric bypass has an impact on medications?
- Decrease in absorptive area
- pH increase in the stomach
- GI transit time decreased
- Changes in drug transports
- Changes in volume distribution
What medication formulations should you use after a Roux-en-Y surgery?
- Immediate release
- Liquid formulations
What medication formulations should you avoid after Roux-en-Y surgery?
- Extended release
- Delayed release
- Enteric coated
What medications should be avoided with Roux-en-Y surgery?
- NSAIDs
- Bisphosphanates
- Aspirin
- Potassium chloride
Why should you avoid the use of NSAIDs and bisphosphonates?
Can increase the risk of gastric ulceration along surgical samples
When can you use aspirin after Roux-en-Y surgery?
If there’s is a strong indication for aspirin use
