Exam (elaborations)
CSOWM - Bariatric Surgery Procedures & Nutrition
- Course
- Institution
CSOWM - Bariatric Surgery Procedures & Nutrition
[Show more]
Seller
Follow
modockochieng06
Content preview
CSOWM - Bariatric Surgery Procedures &Nutrition
ASMBS Nutrition Guidelines: Calcium - ANS-BPD/DS: 1800-2400 mg
SG & RYGB: 1200-1500 mg
Notes:
- needs to be taken in 2-3 divided doses (500-600mg each) for better absorption
- calcium citrate is better absorbed and can be taken with or without food
- take at least 2 hours apart from iron for better absorption
- calcium supplement should contain 400-800 IU vitamin D to increase absorption
ASMBS Nutrition Guidelines: Copper - ANS-SG: 1 mg in MVI
RYGB: 2mg in MVI
ASMBS Nutrition Guidelines: Folic Acid - ANS-400-800 mcg in MVI
females of child-bearing age: 800-1000 mcg
ASMBS Nutrition Guidelines: Iron - ANS-Men and post menopausal women: 18mg
Menstruating women: 45-60mg
*cannot be taken with calcium*
ASMBS Nutrition Guidelines: Thiamin (vitamin B1) - ANS-SG: 12 mg in MVI or 50 mg
1-2/days in B complex
RYGB: 12 mg in MVI + 50 mg 1-2/days in B complex
ASMBS Nutrition Guidelines: Vitamin A - ANS-5,000-10,000 IU (1,500-3,000mcg)
ASMBS Nutrition Guidelines: Vitamin B12 - ANS-Oral/sublingual: 350-500 mcg per day
Intramuscularly: 1000 mcg per month
ASMBS Nutrition Guidelines: Vitamin D3 - ANS-3000 IU
ASMBS Nutrition Guidelines: Vitamin E - ANS-15mg
, ASMBS Nutrition Guidelines: Vitamin K - ANS-90-120mcg
ASMBS Nutrition Guidelines: Zinc - ANS-SG: 100% RDA in MVI
RYGB: 100-200% RDA in MVI
*RDA is 8 mg for women and 11 mg for men*
ASMBS Nutrition Guidelines: Zinc to Copper Ratio - ANS-8-15 mg zinc to 1 mg of
copper to minimize the risk of copper deficiency post surgery
Aspiration Therapy (AT) - ANS-Placement of a G tube and secondary device that
connects to a reservoir. Reservoir delivers water to stomach - water mixes with food -
then food drains (aspirates) from stomach (20-30% calories removed 20-30 minutes
after a meal)
NO nutrition guidelines established: traditional MNT, slow eating, chewing well, etc.
Bariatric and Metabolic Surgery Procedures - ANS-- Previously known as weight loss
surgery
- Impact the physiological regulation of body weight
- Improve morbidity and mortality rates among overweight/obese populations
Biliopancreatic Diversion (BPD) / Duodenal Switch (DS) - ANS-80% of stomach is
removed (essentially a sleeve gastrectomy is performed) and the gastric pouch is
connected to a very short length of the ileum (bypasses duodenum and jejunum).
The biliopancreatic loop (portion of the small intestine that was bypassed) is connected
to the distal part of the digestive loop (portion of the intestine that remains and that food
will travel through) forming a channel to the colon
Biliopancreatic Diversion (BPD) / Duodenal Switch (DS) Advantages - ANS-- greater
weight loss @ 1 year follow up
- most effective against diabetes compared to RYGB, SG, and LAGB
Metabolic Impact
- decreased ghrelin (which decreases hunger)
- increased PYY (which increases satiety)
- increased GLP-1 (which increases satiety)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now