Postoperative Management — Flashcards

Flashcard 1: Early leaks following laparoscopic sleeve gastrectomy are due to tissue trauma and _____

Answer: staple misfire

Flashcard 2: One of the advantages of sleeve gastrectomy is that _____ is preserved thus avoiding gastric dumping

Answer: pylorus

Flashcard 3: The most common cause of death following bariatric surgery is _____

Answer: Pulmonary embolism

Extra: Pulmonary embolism (PE) is traditionally cited as the most common cause of mortality following bariatric surgery. Other high-yield 'most common' facts for bariatric surgery: - Most common complication overall: Cholelithiasis (Gallstones), occurring in up to 30% of patients due to rapid weight loss. - Most common early complication: Wound infection. - Most common nutritional deficiency: Iron deficiency. - Most common cause of death: Pulmonary embolism. Anastomotic leak is a serious complication (occurring in ~1-2% of cases) but is not the 'most common'.

Flashcard 4: One cause of vitamin _____ deficiency is bariatric surgery (e.g., Roux-en-Y gastric bypass, sleeve gastrectomy).

Answer: B12

Flashcard 5: Which bariatric procedure involves the creation of a small gastric pouch and a Y-shaped anastomosis to the jejunum, effectively bypassing the duodenum?

Answer: Roux-en-Y gastric bypass (RYGB)

Extra: Roux-en-Y gastric bypass is a combined procedure (restrictive and malabsorptive). It involves creating a small gastric pouch (15–30 mL) and anastomosing it to the jejunum, bypassing the duodenum and proximal jejunum. It is often considered the "gold standard" of bariatric surgery.

Flashcard 6: The following bariatric procedure is also known as _____

Answer: duodenal switch

Flashcard 7: The following bariatric procedure is also known as _____

Answer: biliopancreatic diversion

Flashcard 8: _____ following laparoscopic sleeve gastrectomy are often difficult to treat, they are called the Achilles heel of the operation

Answer: Leaks