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What are the complications of bariatric surgery?

I - Decreased production of intrinsic factor in the stomach and decreased absorption of vitamin B12 in the distal ileum.
II - Decreased absorption of fat and fat-soluble vitamins A, D, and K.
III - Decreased absorption of iron, copper, and zinc.
a) Only I is correct.
b) Only II is correct.
c) Only III is correct.
d) I, II, and III are correct.
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Tópicos de Farmacologia I

há 2 anos

Respostas

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Ed Verified user icon

há 2 anos

A resposta correta é a alternativa D) I, II e III estão corretas. A cirurgia bariátrica pode levar a várias complicações, incluindo a diminuição da produção do fator intrínseco no estômago e a diminuição da absorção de vitamina B12 no íleo distal (I), diminuição da absorção de gordura e vitaminas lipossolúveis A, D e K (II) e diminuição da absorção de ferro, cobre e zinco (III).

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What are the indications for bariatric surgery?

I - Patients between 18 and 65 years old who have been followed up for 2 years without successful weight loss and have a BMI > 40 without comorbidities or BMI between 36 and 40 with comorbidities that can be reversed or improved.
II - Patients who have not responded to non-surgical treatments such as diet, medication, and gastric balloon.
III - Patients who have undergone previous bariatric surgery and have not achieved the desired weight loss.
a) Only I is correct.
b) Only II is correct.
c) I and II are correct.
d) I, II, and III are correct.

What are the types of bariatric surgeries?

I - Restrictive surgeries that decrease the gastric reservoir, such as vertical gastrectomy and gastric banding.
II - Malabsorptive surgeries, such as duodenal switch and biliopancreatic diversion.
III - Mixed surgeries, such as gastric bypass.
a) Only I is correct.
b) Only II is correct.
c) Only III is correct.
d) I, II, and III are correct.

What is dumping syndrome?

I - It is a post-gastrectomy syndrome that can occur in the early or late postoperative period.
II - Early dumping syndrome is more common and occurs in the first months after surgery and 15 minutes after meals.
III - Late dumping syndrome is less common and occurs months after surgery, 2 hours after meals.
IV - Early dumping syndrome is characterized by gastrointestinal symptoms and vasomotor changes.
V - Late dumping syndrome is characterized by increased insulin due to hypoglycemia, leading to an adrenergic response.
a) I, II, and IV are correct.
b) I, III, and V are correct.
c) II, III, and IV are correct.
d) I, II, III, IV, and V are correct.

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