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

Early dumping syndrome occurs 15-30 minutes after eating high-sugar foods when hyperosmolar contents rapidly enter the small intestine.

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

A leak from the anastomosis or staple line allows gastric contents into the abdomen, and persistent tachycardia is often the earliest sign.

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

Marginal ulcers at the gastrojejunal anastomosis are strongly associated with smoking and NSAID use, both of which impair mucosal healing.

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

Rerouted bowel in Roux-en-Y anatomy creates mesenteric defects through which intestine can herniate and twist, sometimes years later.

Question 5

Which complication is most specifically associated with adjustable gastric banding?

Accepted Answer

Band slippage or erosion into the stomach

Answer

Gastric bands can slip out of position or erode through the stomach wall, which are leading reasons for band removal.

(CBC) Certified Bariatric Counselor Practice Test

(CBC) Certified Bariatric Counselor Practice Test

CBC Bariatric Surgery and Procedures 3