Week 1: Surgical treatment of metabolic diseases

Question 1

How bariatric surgery works

Answer 1

• not well understood how it occurs but there is
• decreased appetite
• increased satiety
• decreased absorption
• altered release of GI hormone

Question 2

Lap band surgery

Answer 2

• not as popular now anymore
• requires frequent adjustment and a lot of compliance and motivation
• weight loss is not as much as other surgeries

Question 3

Sleeve gastrectomy

Answer 3

• remove greater curve of stomach
• restrictive
• produces early satiety and anorexia but no malabsorption

Question 4

Roux-y gastric bypass

Answer 4

-small gastric pouch created that is attached to the small bowel

Question 5

Duodenal switch

Answer 5

• sleeve gastrectomy: restrictive
• food and digestive limbs of intestines are divided so less time for food to digest: malabsorption
• not as commonly done.

Question 6

Bariatric surgery patient selection and risk factors

Answer 6

BMI: 40-60
-consideration of metabolic disease
-usually 20-60 age range
RISK factor assessment
-age
-cardiac assessment
-pulmonary function eval
-psych eval