The patient returns after 5 months. She has lost 18lbs but wants the balloon removed due to abdominal pain and nausea.
Her current weight is 220 lbs, BMI: 35.5kg/m2, BP: 148/98mmHg
. Which of the following statements are true?
Her hypertension is likely to improve if she pursues bariatric surgery.
Correct! Long term studies have shown improvement in diabetes, hypertension, non-alcoholic fatty liver disease and obstructive sleep apnea in patients who underwent bariatric surgery
Laparoscopic sleeve gastrectomy results in weight loss purely due to restricted capacity of the stomach
Incorrect, try again! Laparoscopic sleeve gastrectomy operation is a restrictive surgery in that the remaining stomach has diminished capacity, resulting in early fullness,. However, removal of the gastric fundus also exerts a hormonal influence likely mediated by ghrelin which results in reduced hunger and weight loss.
Adjustable gastric banding should be avoided in patients with severe gastro esophageal reflux disease.
Correct! Contraindications to adjustable gastric banding include large hiatal hernia, severe GERD, and esophageal motility disorders as these are worsened post surgery.
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