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17 Cards in this Set
- Front
- Back
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1. BMI calculation?
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a. Dividing weight in kilograms by the height in meters squared.
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2. Clinically severe obesity?
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a. BMI >40.
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3. Where is the lap band for gastric banding placed?
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a. Around the proximal stomach at approximately 1 cm below the GE junction.
b. The band is attached to a subcutaneus port that may be injected with saline to adjust gastric luminal opening. |
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4. Outcomes of gastric banding?
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a. Most successfully treated patients achieve a reduction in weight that is frequently sustainable.
b. However, patients rarely achieve the ideal body weight c. Most patients experience an improvement in obesity related complications following successful surgery. |
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5. Roux-en-Y small-pouch gastric bypass?
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a. The proximal pouch to Roux limb of jejunum.
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6. Vertical banded gastroplasty?
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a. Proximal lesser curve pouch to main stomach with circumferential band at communication.
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7. Duodenal switch?
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a. Stomach reduction with division of the duodenum at the pylorus
b. The distal small bowel is attached or the gastric tube and the proximal small bowel is attached to the lower ileum. |
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8. Vertical banded gastroplasty results?
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a. Sustained weight loss is difficult
b. Especially with “sweets eaters” |
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9. Complications of Vertical banded gastroplasty?
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a. High reoperation rate for stoma erosion
b. Frequent GERD. |
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10. Roux-en-Y bypass results?
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a. Sustain results are good
b. Loss of 50 to 60% of excess weight |
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11. Complications of Roux-en-Y bypass?
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a. B12 deficiency in 15 to 20%
b. Iron deficiency anemia in 20% c. Marginal ulcer into 2-10% d. Osteoporosis |
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12. Results of gastric banding?
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a. Loss of 33 to 64% of excess weight at 3 to 5 years.
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13. Complications of gastric banding?
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a. Up to 23% rate of band slippage, resulting in reoperation.
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14. Patient selection for bariatric surgery?
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a. All patients must have unsuccessfully attempted supervised weight loss programs by diet, exercise, or medications in fulfill minimum weight criteria that include:
i. BMI >35 kg/M2 with comorbidity ii. Or iii. BMI >40 w/o comorbidity. b. In addition, all patients must be willing to comply with postoperative Excel changes in dietary restrictions, exercise, and follow-up programs. c. Traditionally, bariatric surgery is offered to patients from 18 to 60 years of age. |
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15. With bariatric surgery will provide the best long-term weight reduction with minimal early and late long-term morbidity?
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a. Small pouch gastric bypass.
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16. What is leakage from the attachment of the stomach and intestine characterized by?
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a. Can be devastating, usually characterized by the following occurring at 3 to 5 days postoperatively:
1. Fever 2. Leucocytosis 3. Left shoulder pain |
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17. Complete.
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17. Complete.
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