Bariatric Surgery Principles — Flashcards

Flashcard 1: The **Scopinaro procedure** is also known as:

Answer: Biliopancreatic diversion

Extra: Biliopancreatic diversion (BPD) was originally described by Nicola Scopinaro in 1979. It involves a distal gastrectomy and a long Roux-en-Y reconstruction, resulting in a short common channel (malabsorptive procedure).

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: The following bariatric procedure is also known as _____

Answer: duodenal switch

Flashcard 5: The following bariatric procedure is also known as _____

Answer: biliopancreatic diversion

Flashcard 6: Which bariatric procedure has the maximum weight loss?_____

Answer: Biliopancreatic diversion / Duodenal switch

Flashcard 7: The incision marked X in the image is: _____ Incision

Answer: Lanz

Flashcard 8: _____ femoral hernia is behind the femoral vessels

Answer: Serafini’s

Flashcard 9: Schatzki's ring is associated with _____ hernia of the stomach

Answer: hiatus

Flashcard 10: Intussusception results in compromised blood supply, which causes _____ abdominal pain (frequency) with 'currant jelly' stool

Answer: intermittent