weight loss surgery Flashcards
name 8 risks of obesity?
HD Lipid problems hypertension type 2 diabetes dementia cancer polycystic ovarian syndrome NAFLD
what is the effect of surgery and risk of MI?
decreases after surgery
benefit of surgery?
cost effective
types of surgeries to promote weight management?
gastric band
laparoscopic sleeve gastrectomy
laparoscopic gastric bypass
advantages of intra-gastric balloon?
non operable option
removable
BMI 27-50
disadvantages of intra-gastric balloon?
once removed, potential weight regain
large hiatus hernia
anticoagulation
survival rates of 1y bariatric surgery?
99.95% survival
typical female presentation
35yrs
90kg
BMI - 35kg/m2
type 2 diabetes
typical male presentation
55yrs 150kg BMI - 55kg/m2 type 2 diabetes Iscahemic HD CKD3 sleep apnoea
tier progression of weight management?
1 - universal interventions
2 - lifestyle interventions
3 - specialist services
4 - surgery
MDT?
surgeon gastroenterologist anaesthetist bariatric specialist nurse psychologist dietician radiologist
common problems following weight loss surgery?
increased thirst nausea & vomiting acid reflux excess skin hair loss