Please enable JavaScript.
Coggle requires JavaScript to display documents.
Bariatric Surgery - Coggle Diagram
Bariatric Surgery
-
-
-
-
-
Choice of Surgery
-
T2DM
Difficult to control T2DM - procedure bypassing duodenum and proximal jejunum such as
- Bileopancreatic diversion with duodenal switch (BPD/DS)
- Single anastomosis duodenoileal bypass with sleeve (SADI-S)
- RYGB with long biliopancreatic limb
are more effective
Longer biliopancreatic limb impoves DM control
BMI >50
Require more weight loss
- RYGB
- BPD/DS
- SADI-S
-
-
-
-
Medication
GLP1 Agonists
-
-
Effects
-
-
Heart
↓ Blood pressure
↑ HR
↑ Cardiac contractility
↑ Diastolic function
↑ Cardioprotection
↑ Endothelial function
-
-
-
-
-
-
Trials / Outcomes
SLEEVEPASS Trial
RYGB led to superiro total body weight loss at 10 years compare to Sleeve Gastrectomy with similar comorbidity outcomes
YOMEGA Trial
OAGB and RYGB showed similar weight loss and comorbidity resolution, but OAGB had a higher incidence of GERD (41% vs 18%)
Randomised trial
Comparing SG with OAGB found OAGB superior in weight loss, QOL and comorbidity resolution at 7 years
-
-
-
Dietary Supplements
- Fat soluble vitamins - tend to malasbsorp them
-
-
