CBC Bariatric Surgical Procedures Questions and Answers

Question 1

Which bariatric procedure functions primarily through restriction of food intake and does NOT involve intestinal bypass, thereby minimizing the risk of nutrient malabsorption?

Accepted Answer

Laparoscopic Sleeve Gastrectomy (LSG)

Answer

Roux-en-Y Gastric Bypass (RYGB)

Answer

Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

Answer

Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S)

Question 2

A patient who underwent a Roux-en-Y Gastric Bypass (RYGB) 6 weeks ago calls the clinic in distress. They report experiencing nausea, cramping, sweating, and rapid heartbeat about 20 minutes after eating a small piece of birthday cake. As a Certified Bariatric Counselor, you should recognize these symptoms as characteristic of:

Accepted Answer

Early dumping syndrome

Answer

A staple line leak

Answer

An anastomotic stricture

Answer

Late dumping syndrome

Question 3

The Biliopancreatic Diversion with Duodenal Switch (BPD/DS) offers the highest potential for weight loss but also carries the greatest risk for which of the following long-term complications?

Accepted Answer

Severe protein-calorie malnutrition and vitamin deficiencies

Answer

Gastroesophageal reflux disease (GERD)

Answer

Port-site herniation

Answer

Development of gallstones

Question 4

A client who had an adjustable gastric band (Lap-Band) placed several years ago is experiencing inadequate weight loss and has developed significant acid reflux. They are considering a revisional procedure. Which of the following is a common and effective surgical conversion from a gastric band?

Accepted Answer

Conversion to a Sleeve Gastrectomy or Gastric Bypass

Answer

Placement of a second gastric band

Answer

Reversal of the gastric band only

Answer

Endoscopic suturing of the stomach pouch

Question 5

Which newer bariatric procedure combines a sleeve gastrectomy with a loop of small intestine connected to the duodenum, creating both restrictive and malabsorptive effects with a single intestinal connection (anastomosis)?

Accepted Answer

Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S)

Answer

Roux-en-Y Gastric Bypass (RYGB)

Answer

Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

Answer

Laparoscopic Adjustable Gastric Banding (LAGB)

Question 6

A patient who underwent a Roux-en-Y Gastric Bypass is at a significantly higher risk for which specific nutrient deficiency compared to a patient who had a Sleeve Gastrectomy, due to bypassing the primary absorption site for this nutrient?

Accepted Answer

Vitamin B12

Answer

Vitamin C

Answer

Potassium

Answer

Vitamin K