NUTR 344 Lecture Notes - Sleeve Gastrectomy, Pylorus, Mvi
12 Mar 2014
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Document Summary
Band can erode and body can reject it. Ballon in the band- tube comes out just below the skin and fill up ballon with solution- might be too restrictive- can cause vomiting/nausea) Viewed as less invasive as band- just as invasive. Sleeve has a pyloric sphincter (controls gastric emptying) Volumes of food that can be eaten will reduce. Gut hormones (ghrelin (orexigenic hormone) dec. which is mainly prod/rel. by parietal cells in fundus and. Pancreatic and gastric enzymes reach the proximal jejunum at the anastamosis (starting point of absorption). Surgery that has been done for the longest period of time. Stomach present due to enzymes (works even without food entry- smells, etc. stimulates it). 2 stages (done for xs bmi cases- too much fat in the way- do sleeve, lose wgt and do a second procedure after- add malabsorptive comp. Common limb- 100cm of the ileum (1/7th int. length) Pancreatic and gastric enzymes reach ileum at the anastamosis.
