All of the following are true about Bariatric surgery except:
BARIATRIC SURGERY: Types of Bariatric Surgeries: Bariatric operation Mechanism of action - Veical banded gastroplasty - Laparoscopic adjustable gastric banding (Safest & reversible) - Restrictive - Roux-en-Y gastric bypass (RYGB): MC performed procedure now-a-days - Largely Restrictive/mildly Malabsorptive Bilopancreatic diversion(Maximum weight loss) Duodenal switch Largely Malabsorptive/Mildly Restrictive PERIOPERATIVE MOALITY IN BARIATRIC SURGERY: - MC cause of death within 30 days of Bariatric surgery: Pulmonary embolism (36%) > cardiac complications (24%) > Anastomotic leaks (20%) - MC cause of death in Immediate postoperative period: Peritonitis secondary to Anastomotic leak (Leak most commonly occurs at the Gastrojejunostomy because the acid in the stomach causes ulcers at the site of anastomosis )
Robotics, Laparoscopy and Bariatric Surgery
Indication for Bariatric surgery is patients that have a BMI of 35 Kg/m2 or more with comorbidity
Most commonly performed procedure now-a-days is Roux-en-Y gastric bypass
Laparoscopic adjustable gastric banding (safest & reversible)
Most common cause of death within 30 days of bariatric surgery is peritonitis secondary to anastomotic leak
Most common cause of death within 30 days of bariatric surgery is peritonitis secondary to anastomotic leak