Diet And Nutrition Advanced - Qp12

Vertical band gastroplasty is a surgical procedure that involves placing a band around the upper part of the stomach to create a small pouch. This restricts the amount of food that can be consumed at one time, leading to decreased caloric intake. Since weight loss occurs when there is a calorie deficit, the decreased caloric intake from solid food can result in weight loss. Therefore, the statement that weight loss occurs with the use of vertical band gastroplasty because of decreased caloric intake of solid food is true.

The Roux-en-Y gastric bypass configuration is a type of weight loss surgery that involves creating a small pouch at the top of the stomach. This small proximal gastric pouch restricts the amount of food that can be eaten, leading to weight loss. Therefore, the statement that the Roux-en-Y gastric bypass configuration is characterized by a small proximal gastric pouch is true.

The statement is false because surgical options for achieving weight loss are actually becoming more common. In recent years, there has been an increase in the number of people opting for surgical procedures such as gastric bypass or gastric sleeve surgery to help them lose weight. These surgeries are often recommended for individuals who have tried other methods of weight loss without success and have a high body mass index (BMI). Surgical options can provide significant and long-lasting weight loss results for those who qualify and are willing to undergo the procedure.

The correct answer is to be well-informed and motivated, have an acceptable risk for surgery, and have failed previous non-surgical weight loss. These criteria are important for selecting patients who are suitable candidates for surgery to manage severe obesity. Being well-informed and motivated ensures that the patient understands the risks and benefits of the surgery and is committed to making the necessary lifestyle changes. Having an acceptable risk for surgery means that the patient does not have any contraindications or high-risk factors that could complicate the surgical procedure. Failing previous non-surgical weight loss indicates that the patient has already attempted other methods of weight loss without success, making surgery a viable option.

The use of Biliopancreatic diversion, a surgical procedure for weight loss, can lead to high rates of anaemia, diarrhoea, and stoma ulceration. Anaemia may occur due to decreased absorption of iron and other nutrients. Diarrhoea can result from the alteration in the digestive process caused by the surgery. Stoma ulceration refers to the development of ulcers or sores around the surgical opening in the abdomen, which can be a complication of the procedure. Fat malnutrition, although mentioned in the options, is not listed as one of the high-risk outcomes of Biliopancreatic diversion.

In a pocket gastrectomy, only a portion of the greater curvature of the stomach is removed, not the majority. This procedure involves creating a small pouch or pocket, rather than a tubular stomach. Therefore, the correct answer is False.

The intragastric balloon is not a temporary alternative for weight loss in overly obese individuals. It is actually a temporary weight loss procedure where a deflated balloon is placed in the stomach and then filled with saline solution, which creates a feeling of fullness and helps in reducing food intake. The balloon is removed after a few months. Therefore, the statement is false.

The explanation for the answer "False" is that laparoscopic gastric banding is not a purely restrictive procedure. While it does involve placing a prosthetic band around the stomach, it is also adjustable. This means that the tightness of the band can be modified, allowing for both restriction and control of food intake. Therefore, it is not solely restrictive but also adjustable.