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 )
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
Robotics, Laparoscopy and Bariatric Surgery