סיעוד החולה לאחר ניתוח בריאטרי

19-25

normal BMI levels

25-30

overweight BMI levels

30-35

obese BMI levels

above 35

morbid obesity BMI levels

bariatric surgery

the purpose is to cure the morbid obesity and to cure or prevent accompanying diseases

causes of obesity

low metabolism, genetics, stress, eating disorders, lack of physical activity, improper feeling of satiation,

indications for bariatric surgery

BMI above 40, failure of other treatment methods

contraindications of bariatric surgery

alcohol or drug addiction, active mental disorder, below age 16, someone who is unwilling to accept a lifestyle change

sleeve gastrectomy

lengthwise cut of the stomach. The part of the stomach that remains is in the shape of a sleeve. There is removal of the part of the stomach containing the ghrelin hormone

ghrelin

hormone in the stomach that decreases feelings of satiation

restrictive

mechanism of a sleeve gastrectomy

gastric bypass

creation of a small pouch of stomach that is connected to the jejunum. It creates an early feeling of satiation, decreased hunger, inability to eat sweet foods

restrictive and malabsorption

mechanism of gastric bypass surgery

contraindications of gastric bypass surgery

peptic ulcers, NSAIDs, immunocompromised patients

nutritional deficiencies and dumping syndrome

complications of gastric bypass surgery

take vitamins and do blood tests every year

after a gastric bypass surgery the patient must do what 2 things?

BPD

surgery that bypasses the stomach by creating 2 loops. The first loop the stomach is connected to the jejunum and the second loop is the biliopancreatic loop. The 2 loops connect to each other 1 meter before the colon

restrictive and malabsorption

mechanism of BPD

complications of BPD

dumping syndrome, malabsorption

nursing treatment of bariatric surgery

hemodynamic balance, PCA, early mobility, prevention of complications, balance diabetes