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  • Obesity Surgeries

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    Gastric banding is not recommended for patients who are older, medically ill, super obese, have failed previous weight loss surgery, lost less than 50kg, or are noncompliant. Complications include slippage, erosions, iron deficiency, and no weight loss. Biliopancreatic diversion and duodenal switch procedures first require gastric sleeve surgery. They can result in constant diarrhea, nutritional deficiencies, anastomotic leaks, and death in 0.1% of cases. Roux-en-Y gastric bypass has risks of marginal ulcers, bowel obstruction, infections, deep vein thrombosis, and pulmonary compromise.

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    Gastric banding is not recommended for patients who are older, medically ill, super obese, have failed previous weight loss surgery, lost less than 50kg, or are noncompliant. Complications include slippage, erosions, iron deficiency, and no weight loss. Biliopancreatic diversion and duodenal switch procedures first require gastric sleeve surgery. They can result in constant diarrhea, nutritional deficiencies, anastomotic leaks, and death in 0.1% of cases. Roux-en-Y gastric bypass has risks of marginal ulcers, bowel obstruction, infections, deep vein thrombosis, and pulmonary compromise.

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    6 views2 pages

    Obesity Surgeries

    Uploaded by

    mzjackie9
    Gastric banding is not recommended for patients who are older, medically ill, super obese, have failed previous weight loss surgery, lost less than 50kg, or are noncompliant. Complications include slippage, erosions, iron deficiency, and no weight loss. Biliopancreatic diversion and duodenal switch procedures first require gastric sleeve surgery. They can result in constant diarrhea, nutritional deficiencies, anastomotic leaks, and death in 0.1% of cases. Roux-en-Y gastric bypass has risks of marginal ulcers, bowel obstruction, infections, deep vein thrombosis, and pulmonary compromise.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    Surgery Procedure Pt Selection

    Gastric Banding

    Poor candidates

    Results Complications

    Biliopancreatic diversion and Duodenal switch Create a small gastric pouch sep Need to do GASTRIC SLEEVE from stomach and bring jejunum to PROCEDURE FIRST anastomose w/ pouch - Older, more medically ill or -superobese higher-risk pts - failure of previous restrictive - lose <50 kg to get BMI <30 operation - not for superobese -noncompliant with diet/exercise plan - hx of upper gastric surgery Contraindications: Contraindications: (Nissen) - hx of gastric surgery - far from surgeon - hx of antireflux surgery - cant afford supplements - severe Fe def anemia - preexisting def of Ca+2, Fe, - distal gastric/duodenum lesions other vit - Barretts esophagus w/ severe dysplasia 60% EBW 60-80% EBW 70% - PROLAPSE Nutritional: - constant diarrhea (after any - Slippage - Fe def large oral intake) - Erosions - Fe def anemia - marginal ulcers - Port/tubing - Vit B12 def - anastomotic - No wt loss - Vit D def leaks/stenosis/obstruction - Death 0.1% - Anastomotic leak/stenosis - PULMONARY COMPROMISE DVT + COMPLICATIONS Would infx - Infx Marginal ulcer Bowel obstruction (deadly) Postop transfusion

    Roux-en-y

    Surgeries: obesity (1 hr), 0.5 hr irritable bowel diseases (davis), 1 hr GI bleed (davis), colon cancer (davis) 0.5 hr, pancreas 1 hr. 4 hrs total 16 ques?

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