CSOWM Metabolic and Bariatric Surgery Prep Exam Questions Solved Correctly.
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Bariatric & Metabolic Surgery Procedures - Answer Group of surgical procedures that impact the physiological regulation of body weight and improve morbidity and mortality rates
Purely restrictive weight loss surgery - Answer Laparoscopic adjustable gastric band (LAGB)
Weight loss surger...
CSOWM Metabolic and Bariatric Surgery
Prep Exam Questions Solved Correctly.
Bariatric & Metabolic Surgery Procedures - Answer Group of surgical procedures that impact the
physiological regulation of body weight and improve morbidity and mortality rates
Purely restrictive weight loss surgery - Answer Laparoscopic adjustable gastric band (LAGB)
Weight loss surgeries that are combination (Malabsorptive & restrictive) -Gastric manipulation, causing
some restriction & neural/hormonal) - Answer Sleeve gastrectomy (SG) & Roux-en-Y Gastric bypass
(RYGBP)
Bypass surgery that is combination of malabsorptive/restriction and of both macronutrients &
micronutrients - Answer Biliopancreatic Diversion (BPD/DS)
Cholecystokinin (CCK) - Answer Hormone secreted by the duodenum; suppresses appetite and levels
decrease during dieting and weight loss
Glucose-dependent insulinotropic polypeptide (GIP) - Answer Hormone secreted by the duodenum
and jejunum; normal function for energy storage; Levels increase during dieting and weight loss
Ghrelin - Answer Hormone from the gastric fundus; Functions to stimulate appetite for high fat, high
sugar foods; Levels increase during diet and weight loss
Glucagon-like peptide 1 (GLP-1) - Answer Hormone secreted in the ileum of the small I; Functions to
suppress appetite and increase satiety; Levels have a decreased functionality with diet and weight loss
Peptide YY (PYY) - Answer Hormone secreted in the distal small I; Suppresses appetite; There is a
decrease in this hormone found in obese persons with weight loss
, Insulin - Answer Hormone secreted from the beta cells of the pancreas; Functions to regulate energy
balance and signal satiety in the brain; There is resistance to this hormone in obese persons; Levels
decrease after dieting
Leptin - Answer Hormone secreted from the adipocytes; Regulates energy balance & suppresses
appetite; Levels decrease during weight loss
Metabolic and bariatric surgery changes to gut hormones? - Answer The opposite of restrictive dieting
RYGB + SG changes in gut hormones - Answer They don't see a decrease in RMR; decrease in appetite
and hunger; increase in satiety; decrease in ghrelin, increase in GLP-1, PYY, CCK, and amylin
Amylin - Answer co-secreted with insulin by beta cells in response to nutrient stimuli. Delays nutrient
uptake and suppresses glucagon secretion after meals. Satiating effect.
LAGB + Hunger hormones - Answer Studies show an increase in ghrelin 6-12 months s/p procedure;
may be why decrease in wt loss with this Adjustments and food choices essential for wt loss and
maintenance
LAGB- Goal of fill (Saline fill) - Answer Satiety, small meals satisfying
LAGB- Needing a fill (saline fill) - Answer Hungry, big meals, looking for food
LAGB downside - Answer Soft meals still go in easy, which can still allow for increase in calorie intakes
to weight gain (Ex: increase in refined, icecream, etc)
LAGB history - Answer First approved in 2001 in US; Lost <25-30% of excess weight in up to 40% of
patients; Many complications found: Band erosion, infection, intolerance to band symptoms, slippage of
band, difficulty swallowing, GERD, Pouch dilation, port infection (Most now having removed than put in)
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