Roux en Y gastric bypass

Q) Which  of the following statement about Roux en Y gastric bypass is not true?

a) After weight loss it resolves symptoms of venous ulcers due to stasis

b) Symptoms of pseudo tumor cerebri are resolved

c) Heartburn is alleviated immediately

d) Protein malnutrition is a very common problem


d Protein malnutrition is common in Biliopancreatic division and duodenal switch not in gastric bypass

Essential components of successful Roux en Y gastric bypass are 

  1. Small Gastric pouch (15-20ml) 
  2. roux limb length 65-75 cm

After RYGB 90% of patients immediately start to have relief from heartburn and other symptoms mentioned in the question

Saby ref 

Hormonal Response

  1. Increase Glucagon like peptide (GLP)
  2. Increase Peptide YY
  3. Low Ghrelin

Early complications, within 30 days after surgery 4 % of patients and include bleeding, perforation or leakage,

Late complications such as significant abdominal pain, small bowel obstruction, anastomotic stenosis or marginal ulceration can occur in 15–20 % of patients after 30 days from surgery to over 10 years 

Results

20–30 % long term, over 2 years of weight loss and maintenance 

remission of hypertension, type 2 diabetes mellitus, obstructive sleep apnoea and musculoskeletal pain.

Approximately 40 % of obese patients with type 2 diabetes go into remission within days or weeks after RYGB

REf 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4709370/

For In depth bariatric surgery knowledge, try this book Bariatric Surgery Complications and Emergencies

Best Surgery Resource

               Read the testimonials here 

Contact by mail or FB with your whatsapp no.  for Premium Membership


                                  Our Subscription plans

                      1 month without Whatsapp : 2500 Rs

                      1 month with Whatsapp        : 3500 Rs

                      6 months with Whatsapp       : 6000 Rs

                       1 year with whatsapp              : 8000 rs

                     6 months Gen Surgery only    : 3000 rs

Advantages of being a premium member

1.  Check the Questions below or browse to sitemap with more than 1300 questions and answers. Follow on facebook to   get MCQ updates

2.  Daily updates of new exam questions with well researched answers helps you save 30% on time 

Read More ...