Treatment Flashcards
What are the steps of obesity management?
What is the medical management?
Orlistat
Stops fat absorption but causes flatulence so fat intake should be reduced.
?Point
What are the surgical options?
- laproscopic Gastric band
- laproscopic Gastric bypass
- biliopancreat diversion +/- duodenal switch
- Sleeve gastrectomy
How does a laproscopic gastric band work?
it is inserted around the stomach with a port to the surface
Issues: can still get fatty dissolved things through so needs committment, infection
How does a sleeve laproscopic gastrectomy work?
Cuts off a large portion
Issues - Reflux
How does gastric bypass work?
Connects fundus to duodenum so less capacity
How does a biliopancreatic diversion work?
Links pyloris and biliary tree together at a common point by the cecum. This limits absorption.
Issue - LOADS OF CHICKEN