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CSOWM Metabolic and Bariatric Surgery Questions and Answers | Already passed | Latest Update

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Bariatric & Metabolic Surgery Procedures : Group of surgical procedures that impact the physiological regulation of body weight and improve morbidity and mortality rates Purely restrictive weight loss surgery : Laparoscopic adjustable gastric band (LAGB) Weight loss surgeries that are combination (Malabsorptive & restrictive) -Gastric manipulation, causing some restriction & neural/hormonal) : Sleeve gastrectomy (SG) & Roux-en-Y Gastric bypass (RYGBP) Bypass surgery that is combination of malabsorptive/restriction and of both macronutrients & micronutrients : Biliopancreatic Diversion (BPD/DS) 2 Cholecystokinin (CCK) : Hormone secreted by the duodenum; suppresses appetite and levels decrease during dieting and weight loss Glucose-dependent insulinotropic polypeptide (GIP) : Hormone secreted by the duodenum and jejunum; normal function for energy storage; Levels increase during dieting and weight los

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Subido en
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2023/2024
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CSOWM Metabolic and Bariatric Surgery
Questions and Answers | Already passed |
Latest Update


Bariatric & Metabolic Surgery Procedures


🗸🗸: Group of surgical procedures that impact the physiological regulation of body weight and

improve morbidity and mortality rates




Purely restrictive weight loss surgery


🗸🗸: Laparoscopic adjustable gastric band (LAGB)




Weight loss surgeries that are combination (Malabsorptive & restrictive) -Gastric manipulation,

causing some restriction & neural/hormonal)


🗸🗸: Sleeve gastrectomy (SG) & Roux-en-Y Gastric bypass (RYGBP)




Bypass surgery that is combination of malabsorptive/restriction and of both macronutrients &

micronutrients


🗸🗸: Biliopancreatic Diversion (BPD/DS)

, 2




Cholecystokinin (CCK)


🗸🗸: Hormone secreted by the duodenum; suppresses appetite and levels decrease during dieting

and weight loss




Glucose-dependent insulinotropic polypeptide (GIP)


🗸🗸: Hormone secreted by the duodenum and jejunum; normal function for energy storage;

Levels increase during dieting and weight loss




Ghrelin


🗸🗸: Hormone from the gastric fundus; Functions to stimulate appetite for high fat, high sugar

foods; Levels increase during diet and weight loss




Glucagon-like peptide 1 (GLP-1)


🗸🗸: Hormone secreted in the ileum of the small I; Functions to suppress appetite and increase

satiety; Levels have a decreased functionality with diet and weight loss




Peptide YY (PYY)


🗸🗸: Hormone secreted in the distal small I; Suppresses appetite; There is a decrease in this

hormone found in obese persons with weight loss

, 3


Insulin


🗸🗸: Hormone secreted from the beta cells of the pancreas; Functions to regulate energy balance

and signal satiety in the brain; There is resistance to this hormone in obese persons; Levels

decrease after dieting




Leptin


🗸🗸: Hormone secreted from the adipocytes; Regulates energy balance & suppresses appetite;

Levels decrease during weight loss




Metabolic and bariatric surgery changes to gut hormones?


🗸🗸: The opposite of restrictive dieting




RYGB + SG changes in gut hormones


🗸🗸: They don't see a decrease in RMR; decrease in appetite and hunger; increase in satiety;

decrease in ghrelin, increase in GLP-1, PYY, CCK, and amylin




Amylin


🗸🗸: co-secreted with insulin by beta cells in response to nutrient stimuli. Delays nutrient uptake

and suppresses glucagon secretion after meals. Satiating effect.




LAGB + Hunger hormones
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