The Role of Bariatric Surgery

Question 1

Name the three options for bariatric surgery?

Answer 1

Restrictive

Malabsorptive

Combination

Question 2

What are the advantages of adjustable gastric banding?

Answer 2

Relatively minor surgery
Reversible and adjustable
Low operative complication rate
Mortality 0.1%

Question 3

What are the disadvantages of adjustable gastric banding?

Answer 3

Requires an implanted medical device
Easier to cheat
Risk of prolapse or slippage
15% will require revisional surgery

Question 4

What are the advantages of a sleeve gastrectomy?

Answer 4

Good medium term outcomes

No dumping Syndrome

No small bowel manipulation

No foreign body

Question 5

What are the disadvantages of a sleeve gastrectomy

Answer 5

more invasive, long staple line = bleed or leak risk, short pedigree, 0.4% mortality rate

Question 6

What are the advantages of a bypass?

Answer 6

Quick and dramatic weight loss, pedigree, dumping syndrome