Name: Score:
40 Multiple choice questions
Term 1 of 40
Potential Signs that Hair Loss is d/t Nutritional Complications of Bariatric Surgery
Hair loss > 1 yr after surgery or hair loss that starts >6 months after surgery.
Exhibits s/s of ferritin, zinc, or protein deficiency.
Overweight: BMI @ 85-94%
Obese: BMI 95-98.9% OR BMI≥30, whichever is lower
Severe Obese: BMI ≥99% or BMI 30-32 for ages 10-12 y/o, BMI 34 ages 14-16 y/o.
When BMI is 25-29:
Total wt gain of 7-11.5 kg (15-25 lbs).
Wt gain/wk in 2&3 trimester: 0.3 kg (0.6lbs)
When BMI is >30:
Total: 5-9 lbs (11-18 lbs).
Wkly: 0.2 kg (0.5 lbs).
1.) LFT's
2.) Lipids
3.) CBC
4.) Ca, Alk Phos
5.) Serum Ferritin, Iron, and TIBC
6.) Folate, Plasma Homocystiene
7.) HgbA1C
8.) B-1 (Thiamine)
9.) B-12
10.) Zinc
11.) Parathyroid Hormone (PTH), 25-Hydroxy Vitamin D
,Term 2 of 40
Complications of SG that can lead to wt gain/suboptimal wt loss
RYGB, SG, & LAGB = Ca, Iron, Thiamine, and Vitamin D.
RYGB & SG = Vitamin B-12
RYGB = Folate
1.) Use aseptic technique for catheter care and insertion & when preparing IV infusion.
2.) Dedicate one port for IV infusion only.
1.) Staple line leakage
2.) Anatomically incorrect sleeves
3.) Severe GERD
4.) Stenosis
5.) Sleeve dilation
1.) Pouch dilation
2.) Band slippage
3.) Band erosion
4.) Band and tubing leakage
5.) Intake of soft, high-kcal foods and beverages
,Definition 3 of 40
Acts synergistically with PYY: Induces satiety.
Augments insulin response to nutrients.
Slows gastric emptying.
Inhibits glucagon secretion.
Increases after RYGB and SG.
No effect after LAGB.
Pyy
GLP-1
Glp-4
Glp-2
Definition 4 of 40
A1C <7% (7-8% w/ vascular complications or comorbid conditions)
Use clinical judgment for any pts with >8% A1C
Fasting BG <110mg/dL
2-hr post prandial <140 mg/dL
Targets for glycemic control before bariatric surgery
Activity Factors for Mifflin St. Jeor
Biochemical Surveillance for Pre Bariatric Surgery
100% DRI for men and women of:
Vitamin K, Biotin, Zinc, Thiamin, Folic Acid, Fe, Copper
, Definition 5 of 40
Inhibitory effect on GI mobility
Induces satiety and reduces intake
Post Prandial Effect:
RYBG: Increases
SG: Increases
LAGB: No Effect
PYY
GHRELIN
GLP-1
CCK
40 Multiple choice questions
Term 1 of 40
Potential Signs that Hair Loss is d/t Nutritional Complications of Bariatric Surgery
Hair loss > 1 yr after surgery or hair loss that starts >6 months after surgery.
Exhibits s/s of ferritin, zinc, or protein deficiency.
Overweight: BMI @ 85-94%
Obese: BMI 95-98.9% OR BMI≥30, whichever is lower
Severe Obese: BMI ≥99% or BMI 30-32 for ages 10-12 y/o, BMI 34 ages 14-16 y/o.
When BMI is 25-29:
Total wt gain of 7-11.5 kg (15-25 lbs).
Wt gain/wk in 2&3 trimester: 0.3 kg (0.6lbs)
When BMI is >30:
Total: 5-9 lbs (11-18 lbs).
Wkly: 0.2 kg (0.5 lbs).
1.) LFT's
2.) Lipids
3.) CBC
4.) Ca, Alk Phos
5.) Serum Ferritin, Iron, and TIBC
6.) Folate, Plasma Homocystiene
7.) HgbA1C
8.) B-1 (Thiamine)
9.) B-12
10.) Zinc
11.) Parathyroid Hormone (PTH), 25-Hydroxy Vitamin D
,Term 2 of 40
Complications of SG that can lead to wt gain/suboptimal wt loss
RYGB, SG, & LAGB = Ca, Iron, Thiamine, and Vitamin D.
RYGB & SG = Vitamin B-12
RYGB = Folate
1.) Use aseptic technique for catheter care and insertion & when preparing IV infusion.
2.) Dedicate one port for IV infusion only.
1.) Staple line leakage
2.) Anatomically incorrect sleeves
3.) Severe GERD
4.) Stenosis
5.) Sleeve dilation
1.) Pouch dilation
2.) Band slippage
3.) Band erosion
4.) Band and tubing leakage
5.) Intake of soft, high-kcal foods and beverages
,Definition 3 of 40
Acts synergistically with PYY: Induces satiety.
Augments insulin response to nutrients.
Slows gastric emptying.
Inhibits glucagon secretion.
Increases after RYGB and SG.
No effect after LAGB.
Pyy
GLP-1
Glp-4
Glp-2
Definition 4 of 40
A1C <7% (7-8% w/ vascular complications or comorbid conditions)
Use clinical judgment for any pts with >8% A1C
Fasting BG <110mg/dL
2-hr post prandial <140 mg/dL
Targets for glycemic control before bariatric surgery
Activity Factors for Mifflin St. Jeor
Biochemical Surveillance for Pre Bariatric Surgery
100% DRI for men and women of:
Vitamin K, Biotin, Zinc, Thiamin, Folic Acid, Fe, Copper
, Definition 5 of 40
Inhibitory effect on GI mobility
Induces satiety and reduces intake
Post Prandial Effect:
RYBG: Increases
SG: Increases
LAGB: No Effect
PYY
GHRELIN
GLP-1
CCK
