Obesity and bariatric Surgery

• Drug Therapy for Obesity

  • Antidepressants such as bupropion
  • GLP 1 agonist (ends in glutide): helps the patient feel fuller
• Criteria for bariatric surgery

  • The patient's BMI has to be >40 or BMI >35 with one or more other comorbidity
• Signs of anastomosis leak include tachycardia, fever, tachypnea, chest and abdominal pain
• Bariatric Surgery Complications

  • Vitamin B12 deficiency - Give cobalamin IM for life
  • Dumping syndrome: when gastric content empty rapidly
  • Signs include nausea, vomiting, diarrhea
  • Treatment include decreasing sugary foods, no fiber, and do not drink water 30-45 minutes before and after meals