Podcast
Questions and Answers
Among bariatric procedures, which surgery has the highest risk for nutritional deficiencies and severe protein malnutrition
Among bariatric procedures, which surgery has the highest risk for nutritional deficiencies and severe protein malnutrition
Match the surgery procedure with its description:
Match the surgery procedure with its description:
Roux-en-Y Gastric Bypass = A small proximal gastric pouch is created and half of the jejunum is attached at this point. Duodenum attached to 'remnant' stomach and bile ducts. Adjustable Gastric Banding = Band placed across upper stomach: 1 cm below esophago-gastric junction, then secure band w/ 3-4 gastric sutures fixation of port within subcutaneous fat vs suture to muscle fascia Gastroplasty = Reduces the size of the stomach by applying rows of stainless-steel staples to partition the stomach and create a small gastric pouch, leaving only a small opening (0.8 to 1 cm) into the distal stomach. Biliopancreatic Diversion w/ Duodenal Switch = Majority of stomach have been removed and the ileum connected to a pouch, by passing duodenum and Jejunum. the bypassing small intestine carries the bile and pancreatic enzyme
What is the minimum BMI a patient must have to qualify for bariatric surgery without comorbidities?
What is the minimum BMI a patient must have to qualify for bariatric surgery without comorbidities?
If a patient has a BMI of 35 or greater, what do they need to qualify for bariatric surgery?
If a patient has a BMI of 35 or greater, what do they need to qualify for bariatric surgery?
Signup and view all the answers
What is one of the primary benefits of bariatric surgery?
What is one of the primary benefits of bariatric surgery?
Signup and view all the answers
Which of the following is a benefit associated with bariatric surgery?
Which of the following is a benefit associated with bariatric surgery?
Signup and view all the answers
What does bariatric surgery aim to improve in patients besides weight?
What does bariatric surgery aim to improve in patients besides weight?
Signup and view all the answers
Which outcome is NOT typically associated with bariatric surgery?
Which outcome is NOT typically associated with bariatric surgery?
Signup and view all the answers
Which type of bariatric surgery is associated with deficiencies in Iron, Calcium, Vitamin B12, and Thiamin?
Which type of bariatric surgery is associated with deficiencies in Iron, Calcium, Vitamin B12, and Thiamin?
Signup and view all the answers
Which bariatric procedure has the greatest risk for deficiency in Iron, Calcium, Vitamin B12, Vitamin D, Thiamin, and Folate?
Which bariatric procedure has the greatest risk for deficiency in Iron, Calcium, Vitamin B12, Vitamin D, Thiamin, and Folate?
Signup and view all the answers
What deficiency is commonly associated with Biliopancreatic Diversion w/ Duodenal Switch?
What deficiency is commonly associated with Biliopancreatic Diversion w/ Duodenal Switch?
Signup and view all the answers
Which type of surgery typically results in deficiencies of Calcium, Vitamin B12, Thiamin, and Folate?
Which type of surgery typically results in deficiencies of Calcium, Vitamin B12, Thiamin, and Folate?
Signup and view all the answers
What is the primary change made to the stomach during Biliopancreatic Diversion?
What is the primary change made to the stomach during Biliopancreatic Diversion?
Signup and view all the answers
Study Notes
Sleeve Gastrectomy (SG)
- 80% of the stomach is surgically removed and permanently removed from the body.
- Deficiency: Iron, Calcium, Vitamin B12, Thiamin
Roux-en-Y Gastric Bypass
- A small gastric pouch is formed, and half of the jejunum is connected to this pouch; the other half remains connected to the remaining stomach and bile ducts.
- Deficiency: Iron, Calcium, Vitamin B12, Vitamin D, Thiamin, Folate
Biliopancreatic Diversion with Duodenal Switch
- A loose sleeve is created, a loop of bowel is attached from the ileocecal junction to the mesentery in the right upper quadrant (RUQ), the duodenum is mobilized posteriorly to the gastroduodenal artery, and the duodenum is resected distal to the pylorus.
- Deficiency: Iron, Calcium, Zinc, Vitamin KEDA, Protein
Biliopancreatic Diversion without/with Duodenal Switch (BPD/BPD-DS)
- A majority of the stomach is removed.
- The distal small intestine is connected to a pouch.
- The duodenum and jejunum are bypassed.
- The bypassed small intestine carries bile and pancreatic enzymes.
- Deficiency: (Note: specific deficiencies not specified in the new information.)
Adjustable Gastric Banding
- A band is placed around the upper stomach, approximately 1 cm below the esophago-gastric junction, secured with sutures, and the port for adjustment is placed within subcutaneous fat.
- Deficiency: Calcium, Vitamin B12, Thiamin, Folate
Bariatric Surgery Qualifications
- Patients may qualify for bariatric surgery at a BMI of 40 or greater, or a BMI of 35 or greater with comorbidities.
- Bariatric surgery can improve and resolve conditions, including insulin resistance, metabolic disease, and comorbidities, thereby decreasing morbidity rates.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Clinical nutrition
