Chapter 46. Surgical Weight Management
Which of the following patients would qualify for bariatric surgery under the 1991 National Institutes of Health Consensus Guideline?
A. A 55-year-old otherwise healthy male with a body mass index (BMI) of 37
B. A 35-year-old female with BMI of 32 and hypertension, diabetes, and obstructive sleep apnea
C. A 50-year-old female with a BMI of 38 and a family history of type 2 diabetes, hypertension, and coronary artery disease
D. A 38-year-old male with BMI of 36 and obstructive sleep apnea, type 2 diabetes, and dyslipidemia
E. A 48-year-old female with a BMI of 34 and chronic low back pain
The correct answer is D. A 38-year-old male with BMI of 36 and obstructive sleep apnea, type 2 diabetes, and dyslipidemia
Which of the follow statements regarding the medical and surgical treatments of obesity is correct?
A. Surgery and intense medical therapy achieve comparable weight loss results when compared at 5 years.
B. Surgery achieves greater weight loss and medical therapy achieves better glycemic control in obese diabetic patients.
C. Surgery is the only treatment modality that has been shown to achieve sustained remission in hypertension and type 2 diabetes in obese patients.
D. Bariatric surgery should only be offered to patients over the age of 18.
E. There is never a role for surgery in the management of type 2 diabetes.
The correct answer is C. Surgery is the only treatment modality that has been shown to achieve sustained remission in hypertension and type 2 diabetes in obese patients
A 60-year-old man with a BMI of 38 and hypertension, type 2 diabetes, and obstructive sleep apnea is interested in undergoing bariatric surgery. After completing the required preoperative evaluation, he wants to know what he can expect following surgery. Which of the following statements is correct in addressing his concerns?
A. He can expect comparable weight loss results with Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy, or gastric banding.
B. With RYGB, the average patient experiences > 50% excess weight loss (EWL) at 2 years.
C. The RYGB has a higher risk of long-term nutritional deficiency than the biliopancreatic diversion with duodenal switch.
D. All patients undergoing laparoscopic sleeve gastrectomy ...