Check your understanding
The answers to the Quiz questions are:
Question 1
True or False: You will feel more hunger after a gastric bypass operation.
Answer: False. Most patients no longer feel hungry after weight loss surgery.
Question 2
True or False: Gastric bypass is a good surgery to resolve diabetes.
Answer: True, the gastric bypass is a good surgery to help resolve diabetes, especially in those who have had diabetes for less than 5 years.
Question 3
Which surgical weight loss procedure can cause “dumping”?
Answer: Gastric bypass surgery has a biofeedback mechanism known as dumping syndrome when a patient eats too many carbohydrates. This biofeedback can produce unpleasant symptoms to help a patient avoid overeating carbohydrates.
Question 4
The following are advantages of a gastric sleeve:
- No re-routing of the intestine
- Less concern about vitamins and calcium
- No adjustments necessary
- Weight loss similar to gastric bypass
- All of the above
Answer: All of the above are advantages to the gastric sleeve operation.
Question 5
True or False: I may experience heartburn and/or reflux after a gastric sleeve.
Answer: True. The gastric sleeve operation may make symptoms of heartburn or reflux worse.
Question 6
Which surgical weight loss procedure results in the highest amount of weight loss?
Answer: Duodenal Switch has the highest amount of weight loss at approximately 90% of excess weight.
Question 7
The following are reasons to consider a duodenal switch:
- Higher weight
- Advanced diabetes
- “Failure” of other procedures
- Fear of obesity recurrence
- All of the above
Answer: All of the above. The duodenal switch is not an operation for everyone, but may be a good option for patients with higher weight, advanced diabetes, failure of other procedures, or a fear of obesity recurrence.