SAGES Web Quiz #29 -- Laparoscopic Obesity Surgery

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1. The patient is a 35 year old white female with BMI of 48 who complains of obesity. She has been on multiple supervised medical diets with only temporary weight loss. She has undergone preoperative counseling for obesity surgery and has begun a daily exercise program.

What comorbidities might you expect to improve with weight loss?
a) Type II diabetes
b) Hypertension
c) Gastroesophageal reflux
d) Cholesterol
e) All of the above
f) Don't Know

2. Patient has medical necessity for obesity surgery if:
a) BMI is greater than 40
b) BMI is less than 35 but has significant disabling comorbidities
c) Patient is depressed because she does not fit into her clothes.
d) All of the above
e) Don't Know

3. What operation is depicted in the illustrations?

a) Jejunoileal bypass
b) Biliary pancreatic diversion
c) VBG
d) Roux-en-Y gastric bypass
e) Don't Know

4. Postoperative day 1, patient undergoes routine gastrograffin swallow which shows this picture. This most likely represents:

a) Edema
b) Esophageal obstruction
c) Twist in gastric pouch
d) Obstruction secondary to NG tube
e) Don't Know

5. Patient becomes tachycardic with pulse of 130 and shortness of breath with respirations. Abdomen is benign with no evidence of peritonitis. Urinary output is scant. The most likely diagnosis with this swallow study:

a) Pulmonary embolism
b) Dehydration
c) Leak
d) Hemorrhage
e) Don't Know

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