ࡱ> PRO ubjbj *4{{A387SD_10rrr0000000$215z1rrrrr11rj0r0fz,^0kC$y^"/D0/10_1f/5:L5^05^0lrrr11rrr_1rrrr5rrrrrrrrr : Pre-operative Assessment We believe that patients who are well informed about bariatric surgery and the expected lifestyle changes have the best chance of achieving long-term success after their procedure. We will use your answers on this test to help us identify areas where your knowledge of bariatric surgery may be weak, so that we can work to improve your knowledge in those areas. Please do this test without help from anyone else. It is permissible to use the notes from the informational seminar, or information from the website, or our information handout; these resources are available from our staff. Circle the single best answer for each question: Across the United States, the risk of dying as a complication of a bariatric surgery procedure is: 1 in 10 (10%) 1 in 30 (about 3%) 1 in 500 (0.2%) 1 in 1,000,000 (0.000001%) Which of the following should NOT cause dumping syndrome after gastric bypass? regular soda M&M's cheesecake baked chicken If your surgeon recommends for you to lose weight prior to bariatric surgery, the main goal of the weight loss will be: To reduce the fat in the liver and other organs of the abdomen (belly) so that surgery will be easier and safer To see if I am serious about surgery To loosen up my clothes so that I can exercise better After a gastric bypass, the average person will lose what percentage of their excess weight? 25% 44% 62% 100% The medical definition of successful weight loss after a gastric bypass is to lose at least 50% of excess weight, and still be on the light side of that threshold 5 years later. About what percentage of patients do NOT achieve this goal? 1% 5% 15% 40% 50% After bariatric surgery I may develop a deficiency of: Iron Calcium Protein Vitamin B12 any of the above If I look and feel perfect after bariatric surgery: I will skip my followup clinic visits, because they will not be necessary. I will keep the planned clinic appointments, so that my physicians and team can help me avoid long term weight regain or nutritional problems. I also know that my surgeon and staff appreciate the positive feedback of seeing patients who succeed and will use information that I give to improve the care of other patients. What is the most common cause of failure to lose the expected amount of weight after bariatric surgery? staple line breakdown eating the wrong foods stretching the stomach or outlet eating too much food After bariatric surgery I will lose weight because: I won't absorb fat in my diet I will have diarrhea I will eat less food, and maintain an active metabolism I will burn fat better All of the following are characteristic of dumping syndrome except: Diarrhea Sweating Dropping things Fainting How long should it take to eat a meal? 10-15 minutes as long as necessary to consume at least 15 grams of protein 45-60 minutes 20-30 minutes In a sleeve gastrectomy operation, which part of the body is removed? The left big toe 10 inches of upper intestine The large reservoir section of the stomach The spleen Following bariatric surgery, the best time to begin regular exercise is: as soon as cleared by the surgeon when there is no more pain from the incision(s) when my energy level improves as a result of the weight loss when I find out where my weight will settle without exercise Which of the following is NOT a potential complication of a bariatric surgical procedure? gastrointestinal leak bleeding internally breathing problems anemia caused by Vitamin B12 deficiency blood clots in the legs with risk to lungs any of the above may occur after bariatric surgery All but one of the drugs listed below will increase the chance of ulcer after stomach surgery, and should not be used. Which one of these drugs is OK to use? Aspirin NSAIDs (ibuprofen, naproxen, and other pain meds used for arthritis) Tylenol nicotine (smoking) True or False (circle one): Surgery can cure the underlying cause of obesity in most patients. The bariatric operation is generally "reversed" at approximately the following time after surgery: 2 years 5 10 never If I dont lose weight as I hope to after bariatric surgery: I will skip my followup clinic visits, because I will be ashamed of failing and I will not want to face the surgeon or the clinic staff I will keep the planned clinic appointments, because I believe that the surgeon and staff may be able to help me succeed in a situation that I could not handle alone. I also recognize that the surgeon and staff appreciate the opportunity to learn from patients who have problems, and will use the data thus provided to improve the care of other patients. Six months after bariatric surgery, I should be eating a maximum of meals per day: 2 3 6 8 Which of the following is the correct combination for consuming solids and liquids: solids and liquids together liquids immediately after solids only liquids immediately before solids only If I start to gain weight back after my surgery: I will be embarrassed and never come for another appointment. I will understand that this can happen and I will make an appointment to come to the clinic so I can be helped to get back on track. Gastric Bypass is better than the Sleeve Gastrectomy if reflux or diabetes are involved. True False My signature below certifies that I answered the questions on this test without the assistance of any other person. 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