CBC Bariatric Surgery and Procedures 3

Question 1

Two weeks after gastric bypass, a patient reports dizziness, sweating, and cramping shortly after eating a sugary dessert. What is the most likely cause?

Accepted Answer

Early dumping syndrome

Answer

Anastomotic leak

Answer

Internal hernia

Answer

Marginal ulcer

Question 2

Which postoperative complication after bariatric surgery is a life-threatening emergency typically presenting with tachycardia, fever, and abdominal pain in the first week?

Accepted Answer

Anastomotic or staple-line leak

Answer

Dumping syndrome

Answer

Hair loss

Answer

Lactose intolerance

Question 3

A gastric bypass patient develops burning epigastric pain and is found to have an ulcer at the connection between the pouch and small intestine. Which behavior most increases this risk?

Accepted Answer

Smoking and NSAID use

Answer

Drinking water between meals

Answer

Eating slowly and chewing thoroughly

Answer

Taking daily multivitamins

Question 4

Years after Roux-en-Y gastric bypass, a patient presents with intermittent severe abdominal pain. Which delayed surgical complication should the counselor recognize as unique to bypass anatomy?

Accepted Answer

Internal hernia through a mesenteric defect

Answer

Gallbladder polyps

Answer

Hiatal hernia

Answer

Appendicitis

Question 5

Which complication is most specifically associated with adjustable gastric banding?

Accepted Answer

Band slippage or erosion into the stomach

Answer

Dumping syndrome

Answer

Severe protein malnutrition

Answer

Bile reflux gastritis

Question 6

A sleeve gastrectomy patient reports new or worsening heartburn after surgery. Why is this a recognized issue with this procedure?

Accepted Answer

The high-pressure sleeve can worsen or cause gastroesophageal reflux

Answer

The sleeve removes the esophageal sphincter

Answer

Bile is rerouted directly into the esophagus

Answer

The procedure always causes hiatal hernia

Question 7

Why does rapid weight loss after bariatric surgery increase the risk of gallstones?

Accepted Answer

Rapid fat mobilization increases cholesterol saturation of bile

Answer

The gallbladder is always removed during surgery

Answer

Bile production stops after surgery

Answer

Vitamin supplementation dissolves gallstones